Insights about interventions to address food insecurity in adults with type 2 diabetes: Valuable lessons from the stories of African Americans living in the inner city.
Rebekah J Walker, Renee E Walker, Elise Mosley-Johnson and 1 others
PMID 33838940WHAT IT FOUND
People with diabetes and food insecurity asked for education in groups, peers who understood them, community programs, stress help, and faith-based support.
These are preferences, not proof any intervention works.
Key findings
01Participants said diabetes education and skills training should be an integral component of any approach.
02The intervention strategies they raised included group-based education, peer support, access to community resources or programs, stress management, and faith-based programs.
03Stress was described as a primary barrier, including diabetes-related distress, work-related stress, and family-related stress.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a qualitative study of what participants wanted, not a test of whether any intervention improves diabetes outcomes. Only 16 people took part, all recruited through food pantries in Milwaukee, so the themes may not apply to other communities or people who do not use food pantries. Participants were recruited by flyers and pantry referrals, so they may differ from adults with diabetes who were not reached. The study stopped after two focus groups because the researchers judged themes had become similar, which can be difficult to check from outside. No blood glucose, weight, dietary quality, or complication outcomes were measured.
Declared interests
The text states the authors declared no conflicts of interest. The supplied publication types list NIH and non-U.S. government research support.
The easy way to misread this
Do not read these themes as evidence that group education, peer support, community resources, stress management, or faith-based programs improve diabetes outcomes. The study asked people what they wanted and did not test any intervention.