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Adaptive Challenges Rising from the Life Context of African-American Caregiving Grandmothers with Diabetes: A Pilot Study
- Source :
- Healthcare, Vol 3, Iss 3, Pp 710-725 (2015), Healthcare, Volume 3, Issue 3, Pages 710-725
- Publication Year :
- 2015
- Publisher :
- MDPI AG, 2015.
-
Abstract
- To understand the challenges arising from the context within which diabetic African-American caregiving grandmothers self-manage their diabetes we used the Adaptive Leadership Framework. Additionally, challenges to retaining this population in a longitudinal study were examined. In this exploratory, longitudinal, qualitative pilot study, data were collected at five time-points over 18 months. We coded the data using content analysis and conducted the within-case and cross-case analyses using data matrices. Lack of awareness of available resources, represented a technical challenge within the life context of these grandmothers and the remaining three themes: family upheaval<br />priority setting (with subthemes of difficulty meeting basic needs and competing demands)<br />and self-silencing and self-sacrifice represented adaptive challenges. The context of African-American grandmothers’ lives created primarily adaptive challenges that were complex and without immediate solutions. Research is needed to develop culturally and contextually appropriate interventions to help this vulnerable group develop capacity for adaptive work.
- Subjects :
- Gerontology
self-management
retention
Longitudinal study
Leadership and Management
caregiving
Population
Psychological intervention
lcsh:Medicine
Health Informatics
Context (language use)
Article
Health Information Management
education
older adults
African-American
African american
education.field_of_study
Self-management
diabetes
Grandmothers raising grandchildren
Health Policy
lcsh:R
adaptive leadership
1. No poverty
Content analysis
Basic needs
Psychology
qualitative longitudinal
Subjects
Details
- ISSN :
- 22279032
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- Healthcare
- Accession number :
- edsair.doi.dedup.....99c6ad667272f890d69b62653ee82881