{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T19:22:07Z","timestamp":1783797727520,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1999,9,1]],"date-time":"1999-09-01T00:00:00Z","timestamp":936144000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[1999,9]]},"abstract":"<jats:p>PURPOSE<\/jats:p>\n                  <jats:p>this qualitative study investigated diabetes care management among family members of American Indian elders with self-care limitations. Focus groups were used to examine the reasons for and content of diabetes care management, the challenges faced, and the support services needed.<\/jats:p>\n                  <jats:p>METHODS<\/jats:p>\n                  <jats:p>Five focus groups were conducted with family caregivers from six tribes. Caregivers' responses related to care management were identified and categorized into themes.<\/jats:p>\n                  <jats:p>RESULTS<\/jats:p>\n                  <jats:p>Participants reported that they provided assistance with a wide range of diabetes care tasks (eg, skin and wound care, in-home dialysis) depending on the elder's level of impairment. Caregivers described three major challenges related to diabetes care management: (1) anxiety about in-home care, (2) coping with psychosocial issues, and (3) decision making and communication problems with other family members. They emphasized the importance of developing a care routine for successful diabetes management.<\/jats:p>\n                  <jats:p>CONCLUSIONS<\/jats:p>\n                  <jats:p>Based on these findings, we suggest areas where diabetes educators can assist American Indian family caregivers in meeting the needs of frail elders in the home.<\/jats:p>","DOI":"10.1177\/014572179902500507","type":"journal-article","created":{"date-parts":[[2007,7,26]],"date-time":"2007-07-26T20:36:14Z","timestamp":1185482174000},"page":"747-754","source":"Crossref","is-referenced-by-count":21,"title":["Diabetes Education Needs of Family Members Caring for American Indian Elders"],"prefix":"10.1177","volume":"25","author":[{"given":"Catherine Hagen","family":"Hennessy","sequence":"first","affiliation":[{"name":"Catherine H. Hennessy, DrPH, Health Care and Aging Studies Branch, Centers for Disease Control and Prevention, Mailstop K-45, 4770 Buford Highway NE, Atlanta, GA 30341-3717 ."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"John","sequence":"additional","affiliation":[{"name":"Northeast Louisiana University, Monroe, Louisiana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynda A.","family":"Anderson","sequence":"additional","affiliation":[{"name":"Health Care and Aging Studies Branch, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,9,1]]},"reference":[{"key":"atypb1","volume-title":"Trends in Indian Health 1996","author":"Indian health Service","year":"1997"},{"key":"atypb2","volume-title":"Prevalence of Chronic Diseases: A Summary of Data From the Survey of American Indians and Alaska Natives","author":"Johnson A","year":"1991"},{"key":"atypb3","first-page":"683","volume-title":"Diabetes in America","author":"Gohdes D","year":"1995"},{"key":"atypb4","volume-title":"The Population 50 Years and Older, by Sex, Race, and Hispanic Origin for the United States, Regions and States: 1990","author":"US Department of Commerce","year":"1991"},{"key":"atypb5","volume-title":"American Indian Elderly: A National Profile","author":"National Indian Council on Aging","year":"1981"},{"key":"atypb6","volume-title":"1990 Census of the Population: Social and Economic Characteristics","author":"US Department of Commerce","year":"1993"},{"key":"atypb7","volume-title":"Annual Meeting of the Western Social Science Association","author":"Altman BM"},{"key":"atypb8","volume-title":"American Indian and Alaska Native Elders: An Assessment of Their Current Status and Provision of Services","author":"John R","year":"1995"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.16.1.372"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1177\/014572179301900106"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1177\/014572179702300409"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb01401.x"},{"key":"atypb13","first-page":"382","volume-title":"Ethnic Families in America","author":"John R","year":"1998","edition":"4"},{"key":"atypb14","volume-title":"50th Annual Scientific Meeting of the Gerontoluogical Society of America","author":"Hennessy CH"},{"key":"atypb15","volume-title":"Basics of Qualitative Research","author":"Strauss A","year":"1990"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1177\/073346489601500301"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(86)90533-4"},{"key":"atypb18","volume-title":"The Home Care Experience","author":"Albert SM","year":"1990"},{"key":"atypb19","first-page":"230","volume-title":"Health Behavior Research in Minority Populations","author":"Baines DR","year":"1992"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.17953\/aicr.17.4.91302614j6056486"},{"key":"atypb21","volume-title":"Centers for Disease Control and Prevention (CDC) Diabetes Translation Conference","author":"Burd C"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1996.tb01420.x"}],"container-title":["The Diabetes Educator"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014572179902500507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014572179902500507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T15:31:58Z","timestamp":1777649518000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014572179902500507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,9]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1999,9]]}},"alternative-id":["10.1177\/014572179902500507"],"URL":"https:\/\/doi.org\/10.1177\/014572179902500507","relation":{},"ISSN":["0145-7217","1554-6063"],"issn-type":[{"value":"0145-7217","type":"print"},{"value":"1554-6063","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,9]]}}}