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Methodological challenges of cross-language qualitative research with south asian communities living in the UK

Family Medicine and Community Health 2016年第2期4卷 16-28页

作者： Manbinder S.Sidhu Farina Kokab Kate Jolly Tom Marshall Nicola K.Gale Paramjit Gill Institute of Applied Health Research University of BirminghamEdgbastonBirminghamB152TTUK Health Services Management Centre School of Social PolicyUniversity of BirminghamEdgbastonBirminghamB152TTUK

Objective:We investigate(1)the influence of ethnic,gender,and age concordance with inter-viewers and(2)how expression of qualitative data varies between interviews delivered in English and community languages(Punjabi/Urdu)with monolingual and bilingual participants across three generations of the Indian Sikh and Pakistani Muslim communities living in the ***:We analyzed and interpreted semi-structured interview transcripts that were designed to collect data about lifestyles,disease management,community practices/beliefs,and social ***,qualitative content analysis was applied to ***,a framework was ap-plied as a guide to identify cross-language illustrations where responses varied in length,expression and ***:Participant responses differed by language and ***-generation migrants when discussing religion,culture,or family practice were far likelier to use group or community narra-tives and give a longer response,indicating familiarity with or importance of such *** and gender concordance generated greater rapport between researchers and participants centered on community values and ***,open-ended questions that were less direct were better suited for first-generation ***:Community-based researchers need more time to complete interviews in second languages,need to acknowledge that narratives can be contextualized in both personal and com-munity views,and reframe questions that may lead to greater ***,we detail a number of recommendations with regard to validating the translation of interviews from commu-nity languages to English as well as measures for testing language proficiency.

关键词： Ethnicity community concordance language south asian qualitative interviews

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Culturally tailored DSMES:A new key for south asian patients with Type 2 Diabetes Mellitus

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Discussion of Clinical Cases 2021年第4期8卷 14-16页

作者： Hongxiu Luo Annah Kuriakose Geethika Thota Naveen Mehrotra Division of Endocrinology Nutritionand MetabolismDepartment of MedicineSaint Peter’s University HospitalNJUSA SKN south asian Diabetes Center Department of MedicineSaint Peter’s University HospitalNJUSA Department of Medicine Saint Peter’s University HospitalNJUSA

south asians have an exceptionally high risk for developing Type 2 diabetes *** is very challenging for healthcare providers to successfully manage diabetes and control glucose levels at target due to the unique lifestyle of the south asian *** tailored diabetes self-management education and support(DSMES)can be more effective in guiding south asian patients with Type 2 *** considerations to address lifestyle modification for south asians include a diet that typically consists of a high carbohydrate to lipids/proteins ratio,preference for high glucose index fruits,regular intake of traditional sweets or desserts,late afternoon tea break followed by late dinner,lack of vigorous exercise(yoga or walking being the preferred activity),lack of DSMES knowledge and skills,and poor access to culturally appropriate resources for diabetes *** present a 38-year-old male diagnosed with diabetes four years ago who showed poor glucose control before our *** interventions included education on the importance of blood glucose monitoring,exercise,and *** on our experience with this case,we propose the following recommendations for a tailored approach to DSMES for south asian patients with Type 2 diabetes:make appropriate dietary changes(decrease total daily caloric intake,decrease the percentage of carbohydrates,add low glucose index fruits and vegetables,avoid late afternoon tea breaks,eat dinner before 8 PM);incorporate appropriate daily physical activity;and monitor blood glucose daily for prompt feedback.

关键词： Culturally south asian Lifestyle Diabetes Self-management Exercise DSMES Diet

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