The Role of Children in Parents' Type 2 Diabetes Self-Management
| Theme | Representative Quotes | Mapping to COM-B | |
|---|---|---|---|
| Perceived Facilitators | 1. Children provide encouragement, directly support self-management activities, and easily adapt to household changes | [My kids] they tell me, too, “Daddy…you need to take care of yourself because I want you to walk me down the aisle.” (Participant [P] 7) …my daughter… “dad, you can't get that. You can't eat that.” (P25) If I bring any kind of sweets in the house, [my son] call his self saving me by eating it up. (P26) But like when I buy healthy stuff my daughter is like so into it…I'll buy like yogurts or fruit, or whatever, salads and she'll say, “Oh, mommy can you buy me some of that?” Like she's interested in eating that other than cookies or ice cream or doughnuts, or stuff like that. I think it's wonderful. (P9) | Opportunity |
| 2. Desire to be healthy and present for children | …I need to be healthy for my kids…when I had kids it wasn't like oh, “I want to be the mom who sits in a park and lets my kids go off and play while I sit there and do nothing.” (P8) Dude, I cannot let this take me down. I have two children, I gotta be there for both of them. I'm planning on seeing my grandchildren, I'm hoping my great-grans…so I gotta handle this myself. (P18) | Motivation | |
| 3. Desire to model healthy behaviors for children and to prevent children from developing diabetes | …we walk as a family because I like to teach them, you know, that exercise is – it's good, and it's okay to do it. And I just think it's better when they see me doing it. That way, they start doing it, too. (P4) | ||
| …no candy…not in grandma's house. I'm going to give them broccoli, carrots, this and that. But no candy. No soda…I have done so many mistakes raising [my kids]…if someone would've came to me and explained to me…I would never gave [my kids] all that junk. (P39) | |||
| Perceived Barriers | 4. Children do not want to adapt/do not like healthier food | They don't want oatmeal. Well they will, if they put sugar and a whole bunch of crap in there. (P8) | Opportunity |
| 5. Insufficient time for self-management | And how do you still find time to exercise multiple times per week when you get home from work, you put the baby to sleep, and I'm ready to go to sleep, too…but I still have hours of work… (P31) I'm gonna get home and [exercise]…And then it never happens…I've got the little one, who's running around the house…it's always the thought process and just not following through or not having time. (P19) I have like a relax app…sometimes I do put that on and just try to de-stress, but it seems with kids when they see someone sitting and not doing anything… (P8) | ||
| 6. Prioritizing your children's needs over your own | I'm spending all of my time watching out for them…I'm already done, that's the way that I see it. (P38) I did make an appointment with a nutritionist, but then in typical mom fashion a kid got sick with asthma, and that becomes a priority… (P8) | Motivation |
Abbreviation: Capability-Opportunity-Motivation-Behavior (COMB).