Evidence map›Paper›PMID 33753364›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2021

Experiences of First Nations adolescents living with type 2 diabetes: a focus group study.

Brandy Wicklow, Allison Dart, Jackie McKee, Arlene Griffiths, Sayma Malik, Shayna Quoquat, Sharon Bruce

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Brandy WicklowDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man. bwicklow@hsc.mb.ca.
Allison DartDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.
Jackie McKeeDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.
Arlene GriffithsDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.
Sayma MalikDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.
Shayna QuoquatDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.
Sharon BruceDepartment of Pediatrics and Child Health (Wicklow, Dart), University of Manitoba; Children's Hospital Research Institute of Manitoba (Wicklow, Dart), Winnipeg, Man.; Waywayseecappo First Nation (McKee), Waywayseecappo, Man.; Brandon University (Griffiths), Brandon, Man.; Department of Clinical Health Psychology (Malik), University of Manitoba, Winnipeg, Man.; Wabaseemoong First Nation (Quoquat), Whitedog, Ont.; Department of Community Health Sciences (Bruce), University of Manitoba, Winnipeg, Man.

Funding

CIHR MOP 142309
6 · The paper itself

Abstract

backgroundDespite prevention efforts, type 2 diabetes mellitus continues to increase in incidence among First Nations children and is associated with early and aggressive complications. We aimed to determine the experiences of adolescents living with type 2 diabetes and the barriers to living well with type 2 diabetes that adolescents perceived.

methodsWe recruited adolescents with type 2 diabetes mellitus from the pediatric diabetes clinic in Winnipeg, Manitoba, to participate in a day-long facilitated focus group discussion. Group discussions were recorded and transcribed verbatim. We used interpretive description methodology to inform the thematic analysis of the transcripts.

resultsEight adolescents with a mean age of 15 years participated. Five adolescents identified as female; most were Indigenous (7/8). The mean duration since diagnosis of diabetes was 2.5 years. Adolescents reported struggling with acceptance of their diagnosis, with the stigma and shame associated with the diagnosis and with daily self-management tasks. Three themes were developed from the focus group discussions: bearing witness, the "weight" of diabetes and support (lack of support).

interpretationAdolescents with diagnoses of type 2 diabetes experience associated stigma and shame, which are substantial barriers to self-care. A broader understanding of their lived experience, including the socioecological and emotional context, could help to improve health care provision and intervention strategies for this population.

Indexed as

Indigenous CanadiansAdolescentDiabetes Mellitus, Type 2FemaleFocus GroupsHumansMaleManitobaSelf-ManagementSocial StigmaSocial Support

Identifiers

PMID33753364
PMCPMC8096390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.