ERIC Number: EJ1297250
Record Type: Journal
Publication Date: 2021-Jun
Pages: 13
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0017-8969
EISSN: N/A
Available Date: N/A
Transitioning from Active Duty to Military Retirement: Challenges Impacting Diabetes Self-Management
Fisher, Carla L.; Ledford, Christy J. W.; Wollney, Easton; Crawford, Paul F.
Health Education Journal, v80 n4 p438-450 Jun 2021
Objectives: Military retirement happens early in the lifespan presenting a unique transition that challenges chronic illness. The purpose of this study was to explore the factors that military retirees experience as they transition from active duty to military retirement that they perceive as inhibiting their ability to manage type 2 diabetes (T2DM) or pre-diabetes (preDM) and/or which increase their disease risk. Methods: Twenty veterans diagnosed with T2DM or preDM participated in semi-structured, face-to-face interviews in a private setting at their primary care clinic. Transcripts were analysed using constant comparative method. Participants were aged 44 to 63 (M=56), with 15 diagnosed with T2DM and 5 as preDM. They had been retired from the military 6 to 22 years (M=14years). Results: Participants linked five inter-related challenging factors to their T2DM/preDM diagnosis (when diagnosed post-retirement) and/or to their inability to manage their disease: (1) diet/eating habits, (2) physical activity, (3) weight fluctuation, (4) health care interactions and (5) systematic barriers. Military retirees' experiences were embedded within a 'cultural shift'. They struggled to maintain self-management behaviours once they were no longer on active duty and had more independence as civilians. Discussion: Results provide support for diabetes education during military retirement. Military retirees need help maintaining healthy lifestyle behaviours beyond the structured, health-focused military culture. They could also benefit from patient-provider communication skills training in navigating systematic barriers and attaining the support needed to manage their disease. [Additional funding for this study came from research and development award, 59th MDW/ST 6.3.]
Descriptors: Military Personnel, Retirement, Diabetes, Self Management, Risk, Veterans, Clinical Diagnosis, Primary Health Care, Clinics, Adults, Eating Habits, Physical Activity Level, Body Weight, Health Services, Barriers, Health Behavior, Life Style, Patients, Diagnostic Tests
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Office of the Assistant Secretary of Defense for Health Affairs (OASDHA) (DOD)
Authoring Institution: N/A
Grant or Contract Numbers: FMBB100383695
Author Affiliations: N/A