Older Adults' Fears About Diabetes: Using Common Sense Models of Disease to Understand Fear Origins and Implications for Self-Management. (October 2013)

• Record Type: Journal Article
• Authors: Quandt, Sara A.; Reynolds, Teresa; Chapman, Christine; Bell, Ronny A.; Grzywacz, Joseph G.; Ip, Edward H.; Kirk, Julienne K.; Arcury, Thomas A.
• Is Part Of: Journal of applied gerontology. Volume 32:Number 7(2013)
• Page Start: 783
• Page End: 803
• Publication Date: 2013-10
• Subjects: rural -- qualitative methods -- common sense model; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464811435506
• Languages: English
• ISSNs: 0733-4648

Abstract

This study examines older adults' fears of diabetes complications and their effects on self-management practices. Existing models of diabetes self-management posit that patients' actions are grounded in disease beliefs and experience, but there is little supporting evidence. In-depth qualitative interviews were conducted with a community-based sample of 74 African American, American Indian, and White older adults with diabetes. Analysis uses Leventhal's Common Sense Model of Diabetes to link fears to early experience and current self-management. Sixty-three participants identify fears focused on complications that could limit carrying out normal activities: amputation, blindness, low blood glucose and coma, and disease progression to insulin use and dialysis. Most focus self-management on actions to prevent specific complications, rather than on managing the disease as a whole. Early experiences focus attention on the inevitability of complications and the limited ability of patients to prevent them. Addressing older adults' fears about diabetes may improve their diabetes self-management practices.