Evidence map›Paper›PMID 41757818›Full record

ArticleThe science of diabetes self-management and care2026

The Work of Faith Care: An Interpretive Phenomenological Analysis on the Role of Spirituality and Religion in Diabetes Self-Management Among Black Older Adults in the Greater Toronto Area.

Kristina M Kokorelias, Chukwuebuka Prince Onyekere, Hardeep Singh, Sarah E P Munce, Sachindri Wijekoon, Michael E Kalu, Maurita T Harris

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Article in The science of diabetes self-management and care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Kristina M KokoreliasDepartment of Medicine, Healthy Ageing and Geriatrics Program, Sinai Health and University Health Network, Toronto, Canada.
Chukwuebuka Prince OnyekereDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0002-6945-3812
Hardeep SinghDepartment of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sarah E P MunceRehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Sachindri WijekoonSchool of Occupational Therapy, Western University, London, Canada.
Michael E KaluSchool of Kinesiology and Health Science, York University, Toronto, Canada.
Maurita T HarrisFaculty of Liberal Arts, Wilfrid Laurier University, Wilfrid Laurier University, Brantford, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of the study was to explore how faith and spirituality influence diabetes self-management among older Black adults with type 2 diabetes.

methodsThe researchers conducted in-depth interviews with 21 older Black adults (ages 55+) living with type 2 diabetes or prediabetes in the Greater Toronto Area. Guided by Van Manen's interpretive phenomenology and analyzed thematically using NVivo, the researchers examined lived experiences through 4 lifeworld themes: corporeality, spatiality, relationality, and temporality.

resultsFour themes emerged: faith as inner strength (spiritual resilience), sanctuaries of the soul (sacred spaces for healing), guided by faith (faith in relationships and community), and faith through time (spiritual continuity and hope). Faith helped participants manage stress, regulate emotions, sustain self-care, and strengthen social and familial bonds while providing hope across the course of illness.

conclusionSpirituality serves as a multidimensional resource in culturally responsive, person-centered diabetes care. Integrating faith-based perspectives into interventions can foster more holistic, contextually grounded approaches that enhance well-being and long-term adherence to self-management.

Indexed as

Black or African AmericanDiabetes Mellitus, Type 2ReligionSelf CareSelf-ManagementSpiritualityAgedFemaleHumansMaleMiddle AgedOntario

Identifiers

PMID41757818
PMCPMC12996361

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