Abstract
The purpose of this study was to identify perceived barriers young adults experience in diabetes self-management and possible strategies to overcome these barriers. Twenty two young adults, 18-28 years- old, with type 1 or type 2 diabetes attended three focus groups held in two north western states. Participants were asked to discuss barriers and strategies to help them manage their diabetes. The transcripts were coded and analyzed for themes. Four themes were identified: 1) lack of understanding of diet principles, medications and physical activity; 2) lack of support from family, friends and health care providers; 3) lack of resources to assist in managing blood sugar levels; and 4) participants reported the use of the internet and social networking as strategies for overcoming barriers. There are not a lot of materials developed for this age group. Most diabetes educational materials focus on children or adults. This qualitative study provides important insights from young adults regarding the development of educational materials and support systems to help them successfully manage their diabetes.
Highlights
An estimated 25.8 million Americans or 8.3% of the population have diabetes [1]
A recent report published by the American Diabetes Association (ADA) estimates $245 billion was spent on direct and indirect costs incurred by people with diabetes in 2012 [2]
It was important to know if both diabetes groups had similar barriers and strategies and if one diabetes curriculum could be designed for both diabetes groups
Summary
An estimated 25.8 million Americans or 8.3% of the population have diabetes [1]. The incidence of diabetes is increasing most rapidly in children and young adults. The Centers for Disease Control and Prevention (CDC) estimates that 3.7% of 20-44 year-olds have diabetes and most of these cases are type 2 diabetes [1]. A recent report published by the American Diabetes Association (ADA) estimates $245 billion was spent on direct and indirect costs incurred by people with diabetes in 2012 [2]. The young adult population with diabetes is increasing. Due to the challenges of transitioning from adolescence to young adulthood, this age group has a heightened need for diabetes services and support. Providing age appropriate behavioral recommendations is necessary for improving glycemic control, quality of life, and avoiding long term complications [3]
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