RNQualitativeJournal of transcultural nursing : official journal of the Transcultural Nursing Society2024

Filipino Americans' Social and Cultural Experiences of Type 2 Diabetes Management: Cultural Paradox, Ownership, and Success Definition.

Dante Anthony Tolentino, Mary E Brynes

PMID 37961912

WHAT IT FOUND

Filipino Americans with diabetes described culture as support and burden: family and community helped, while some felt Filipino food was inferior and education ignored them.

Success meant avoiding complications and being present for family.

Key findings

01Family and community support helped participants manage diabetes, but some described Filipino culture and food as burdens.

02Participants felt invisible in diabetes education and support, saying programs were not tailored to Filipino Americans.

03Participants defined successful management as avoiding complications they had seen in family and being able to do more with family.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study used a purposive online sample and reached information power, so it cannot show how common these experiences are or whether they apply to all Filipino Americans with diabetes. Many participants lived in California and had high education and income, and all reported insurance and a primary care provider, which may exclude people with lower socioeconomic status, less access, or more severe disease. Recruitment through social media may have missed people without access to those channels. Some short comments were hard to interpret, and an author's Filipino background and nursing perspective may have shaped the analysis, although reflexivity and audit trail were used.

Declared interests

The authors declared no potential conflicts of interest. Funding included support from Sigma Theta Tau, Beta Mu Chapter, the School of Nursing, and the National Clinician Scholars Program at the University of Michigan.

The easy way to misread this

Do not read these themes as evidence that culturally tailored diabetes education or family involvement improves clinical outcomes. This qualitative study describes participants' experiences and did not test whether such approaches improve diabetes control.

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