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Cultural Identity Conflict Informs Engagement with Self-Management Behaviours for South Asian Patients Living with Type-2 Diabetes: A Critical Interpretative Synthesis of Qualitative Research Studies

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  • Tasneem Patel

    (Department of Primary Care and Mental Health, Institute of Population Health, University of Liverpool, Liverpool L69 3BX, UK
    Faculty of Health, School of Psychology, Liverpool John Moores University, Liverpool L3 3AF, UK)

  • Kanayo Umeh

    (Faculty of Health, School of Psychology, Liverpool John Moores University, Liverpool L3 3AF, UK)

  • Helen Poole

    (Faculty of Health, School of Psychology, Liverpool John Moores University, Liverpool L3 3AF, UK)

  • Ishfaq Vaja

    (Faculty of Health, School of Psychology, Liverpool John Moores University, Liverpool L3 3AF, UK
    NHS Bradford Teaching Hospital, Bradford BD9 6RJ, UK)

  • Lisa Newson

    (Faculty of Health, School of Psychology, Liverpool John Moores University, Liverpool L3 3AF, UK)

Abstract

The prevalence of type-2 diabetes (T2D) is increasing, particularly among South Asian (SA) communities. Previous research has highlighted the heterogeneous nature of SA ethnicity and the need to consider culture in SA patients’ self-management of T2D. We conducted a critical interpretative synthesis (CIS) which aimed to a) develop a new and comprehensive insight into the psychology which underpins SA patients’ T2D self-management behaviours and b) present a conceptual model to inform future T2D interventions. A systematic search of the literature retrieved 19 articles, including 536 participants. These were reviewed using established CIS procedures. Analysis identified seven constructs, from which an overarching synthesizing argument ‘Cultural Conflict’ was derived. Our findings suggest that patients reconstruct knowledge to manage their psychological, behavioural, and cultural conflicts, impacting decisional conflicts associated with T2D self-management and health professional advice (un)consciously. Those unable to resolve this conflict were more likely to default towards cultural identity, continue to align with cultural preferences rather than health professional guidance, and reduce engagement with self-management. Our synthesis and supporting model promote novel ideas for self-management of T2D care for SA patients. Specifically, health professionals should be trained and supported to explore and mitigate negative health beliefs to enable patients to manage social-cultural influences that impact their self-management behaviours.

Suggested Citation

  • Tasneem Patel & Kanayo Umeh & Helen Poole & Ishfaq Vaja & Lisa Newson, 2021. "Cultural Identity Conflict Informs Engagement with Self-Management Behaviours for South Asian Patients Living with Type-2 Diabetes: A Critical Interpretative Synthesis of Qualitative Research Studies," IJERPH, MDPI, vol. 18(5), pages 1-27, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:5:p:2641-:d:511549
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    References listed on IDEAS

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    1. Bissell, Paul & May, Carl R. & Noyce, Peter R., 2004. "From compliance to concordance: barriers to accomplishing a re-framed model of health care interactions," Social Science & Medicine, Elsevier, vol. 58(4), pages 851-862, February.
    2. Haradhan Kumar MOHAJAN, 2018. "Qualitative research methodology in social sciences and related subjects," Journal of Economic Development, Environment and People, Alliance of Central-Eastern European Universities, vol. 7(1), pages 23-48, March.
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    Cited by:

    1. Amineh Rashidi & Lisa Whitehead & Lisa Newson & Felicity Astin & Paramjit Gill & Deirdre A. Lane & Gregory Y. H. Lip & Lis Neubeck & Chantal F. Ski & David R. Thompson & Helen Walthall & Ian D. Jones, 2021. "The Role of Acceptance and Commitment Therapy in Cardiovascular and Diabetes Healthcare: A Scoping Review," IJERPH, MDPI, vol. 18(15), pages 1-15, July.

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