Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community

Bibliographic Details
Main Author:	Warsinske, Kelly
Language:	English
Published:	University of Cincinnati / OhioLINK 2016
Subjects:	Health Sciences Type 2 Diabetes communication family health history urban Appalachian narratives
Online Access:	http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459155334

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spelling	ndltd-OhioLink-oai-etd.ohiolink.edu-ucin14591553342021-08-03T06:35:05Z Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community Warsinske, Kelly Health Sciences Type 2 Diabetes communication family health history urban Appalachian narratives Type 2 diabetes (T2DM) is an important health concern for individuals of Appalachian background, contributing significantly to morbidity and mortality. Early promotion of risk recognition and behavior adaptations can be beneficial to mitigate health consequences, yet culturally tailored resources may not be readily available for this population. In this multi-phase study, a community-driven approach was implemented to explore the use of story circles to facilitate familial communication about T2DM. In Phase I, a group of ten individuals from a low income urban Appalachian community participated in a focus group to discuss and further tailor the study plan. In phase II, 18 individuals participated in one or more of three story circles to discuss T2DM experiences and conversations. Story circles were recorded and transcribed to allow for content analysis. Major themes identified included diabetes experiences, thoughts and attitudes about diabetes, conversations about diabetes, and sharing of information about diabetes. In addition, we found that a sense of support was generated between story circle participants. Phase III consisted of seven follow-up interviews with story circle participants that were part of family pairs that attended together. Transcription and content analysis revealed that all participants reacted positively to their participation and many described ways participating led to changes in their communication or behavior patterns or supported their previous efforts toward diabetes management/prevention and communication with family members. Asking people of urban Appalachian cultural background to share stories about T2DM experiences and conversations led to dynamic discussions that allowed participants to both develop a sense of mutual support and share their experiences and knowledge about diabetes. Although support may be needed to facilitate and monitor the accuracy of information shared, incorporating group storytelling can be an effective way to provide culturally tailored T2DM care in the Appalachian community. 2016-06-28 English text University of Cincinnati / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459155334 http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459155334 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection	NDLTD
language	English
sources	NDLTD
topic	Health Sciences Type 2 Diabetes communication family health history urban Appalachian narratives
spellingShingle	Health Sciences Type 2 Diabetes communication family health history urban Appalachian narratives Warsinske, Kelly Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
author	Warsinske, Kelly
author_facet	Warsinske, Kelly
author_sort	Warsinske, Kelly
title	Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
title_short	Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
title_full	Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
title_fullStr	Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
title_full_unstemmed	Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community
title_sort	storytelling and family communication about type 2 diabetes in an urban appalachian community
publisher	University of Cincinnati / OhioLINK
publishDate	2016
url	http://rave.ohiolink.edu/etdc/view?acc_num=ucin1459155334
work_keys_str_mv	AT warsinskekelly storytellingandfamilycommunicationabouttype2diabetesinanurbanappalachiancommunity
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Storytelling and Family Communication about Type 2 Diabetes in an Urban Appalachian Community

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