Key result
Qualitative analysis identified Knowledge and Support, Fear and Motivation, Physical and Psychological Environment, and Faith and Culture as the four main themes influencing lifestyle management in Tongan adults with type 2 diabetes.
Why the study?
Despite the increasing prevalence of type 2 diabetes mellitus in the Kingdom of Tonga, little is known about the experiences, barriers, and enablers to lifestyle management among adults living with the disease.
Observational (n=16)
No
This qualitative study identifies key cultural, environmental, and psychological factors influencing lifestyle management in Tongan adults with T2DM, emphasizing the need for culturally tailored, collaborative care.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for culturally adapted diabetes care in Tongans; prospective studies needed to assess impact.
Background: Despite the increasing prevalence of Type 2 Diabetes Mellitus in the Kingdom of Tonga little is known of the experiences of adults living with this non-communicable disease. This investigation aimed to explore the barriers and enablers to healthy lifestyles in a group of men and women living with type 2 diabetes mellitus residing in this pacific island nation.Methods: This qualitative study consisted of three semi-structured focus groups (n=16) which were conducted at Tonga’s only Public Hospital located in the capital, Nuku’alofa. Discussions were audio recorded, transcribed, cross-checked for consistency, and entered into a word processing document for analysis. Thematic analysis was employed to synthesise results.Results: Four main themes were identified: (1) Knowledge and Support; (2) Fear and Motivation; 3) Physical and Psychological Environment; and (4) Faith and Culture. Conclusion: The qualitative findings from this study may assist the future development and dissemination of culturally appropriate lifestyle-related information for men and women living with Type 2 Diabetes Mellitus in the Kingdom Tonga. The need for collaboration between practitioners at the hospital, the church, family members and local traditional healers is important if the lifestyle-related needs and wants of this group of people are to be met.
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Taumoepeau et al. (2021) conducted an observational in Type 2 Diabetes Mellitus (n=16). Barriers and enablers to lifestyle management was evaluated on Thematic analysis of barriers and enablers to healthy lifestyles. Qualitative analysis identified Knowledge and Support, Fear and Motivation, Physical and Psychological Environment, and Faith and Culture as the four main themes influencing lifestyle management in Tongan adults with type 2 diabetes.
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