Acceptability and Suitability of Mindfulness Training for Diabetes Management in an Indigenous Community

Abstract

The incidence of type 2 diabetes mellitus (T2DM) has been categorized as a worldwide epidemic and indigenous populations experience disproportionately higher rates. Stress is a factor in both the development and maintenance of T2DM, and stress is common in the lives of indigenous people. Previous research indicates that mindfulness-based interventions (MBI) can improve health outcomes for diabetes patients, and we hypothesized that the mind/body approach of MBIs would be appropriate for, and acceptable to, indigenous people whose healing traditions incorporate aspects of mind, body, and spirit. Our previous quantitative investigation revealed both statistically and clinically significant health improvements in Aboriginal participants (N = 11) recruited from urban and rural centers in Manitoba, Canada. In this qualitative study, we set out to determine the acceptability, suitability, and perceived value of the MBI through the reported subjective experiences of these participants. Data obtained through semi-structured interviews were analyzed using the framework analytic approach and revealed several salient categories and subcategories under the main themes of factors related to participation, including motivating factors and barriers; outcome, including perceived benefits and evaluations of the program and its practices; and directions for future programs. Overall, the results indicate that the Aboriginal participants valued the lessons, practices, and perceived benefits of the program and they found the MBI culturally acceptable and suitable to their needs.