The Influence of Family History of Type 2 Diabetes on Early Self-Management
| Themes | Representative Quotes | Mapping to COM-B | |
|---|---|---|---|
| Perceived facilitators | 1. Knowledge about type 2 diabetes from observing or speaking with family members | I guess I didn't feel overwhelmed because I've been around it so much with my parents and my siblings. So, a lot of the terminology, I was already familiar with. (Participant [P] 6) [My dad] was telling me you need to do everything that you can to avoid getting full-blown diabetes…you need to get more exercise, overhaul your diet right now. (P38) | Capability |
| 2. The diabetes-related experiences of older relatives | …my mom's the one who start telling me…she was about 40 years old when she had diabetes, so she's now 80…She never like, “Have to go to the hospital for this or need glasses, or need…” I mean, she's healthier than me. (P3) …I have that in mind, my great-grandfather…He lived to be 97. Small, frequent meals walk two to three times a day…That's what I'm gonna keep doing until I die. (P12) …I really thought about doing the weight loss surgery, you know, because once I hear “diabetes”—my dad died from diabetes and I kinda got scared. (P1) [My mom] said that I was going to be fine, that I was young, that I could take control of it… she just told me to take care of myself so I wouldn't end up like her. (P4) | Motivation | |
| Perceived barriers | 3. Futility/inevitability related to family history of type 2 diabetes | [My brother] said, “You knew this was coming, right?"…And I was like, “Yeah. I mean I knew, but, you know, I was trying to avoid it.” (P18) [type 2 diabetes] runs on both sides. So, I'm screwed. (P34) | Motivation |
Abbreviations: SD, standard deviation; GED, General Education Development.