The Influence of Health Literacy on Managing Type 2 Diabetes in Barbados: A Case Study

The Influence of Health Literacy on Managing Type 2 Diabetes in Barbados: A Case Study

Author: 
Coralene Quimby-Worrell
Program of study: 
D.H.A.
Abstract: 
The purpose of this qualitative instrumental single case study was to explore how patients living with Type 2 diabetes (T2D) in Barbados manage the disease and what role health literacy might play. Purposeful sampling aided in selecting the sample for the study. The sample was 23 participants who were 40 years and older, diagnosed with T2D, living in Barbados, and attending the Endocrine Center for treatment. Participants responded to 13 open ended questions used to answer the research questions. Information was coded using NVivo 10 software and the software provided the themes based on the participants’ responses to the interview questions. The themes provided were managing T2D, diet, exercise, and understanding T2D and related information. The interpretation of the findings were that patients in Barbados had a moderate understanding on how to manage T2D and managed the disease with moderate effectiveness. The findings also revealed that health literacy might have a meaningful impact on how to manage T2D but other factors might be involved. Recommended strategies are to improve communication between patient and providers and to provide initiatives to improve patients’ selfefficacy. The findings might provide health care leaders, and policy makers with insight on how patients living in Barbados with T2D manage the disease and the role that health literacy might play.
Dedication: 
I dedicate this dissertation to my husband Stephenson L Worrell Sr. for his continued support and dedication to make this dream become a reality. To my ‘Dada’ the late Lysle Colin Yearwood and my ‘Mama’ the late Carmen Holder-Yearwood who became my parents when I was 3.5 months old. You were my parents when my parents did not want to be bothered with me. To my mother-in-law the late Barbara Worrell who advised me not to walk in her footsteps but to find my own path and continue my education. To my biological father, the late Cardinal Holder who became a father, friend, and confidant in my adult life.
Acknowledgements: 
First, I would like to thank my husband Stephenson L Worrell Sr. for his patience and understanding. Thanks for reading and being my sounding board. Thanks to my amazing chair Dr. Joseph Clift for stepping in when my previous chair stepped down. Thank you for the guidance, support, and tolerance that you provided. Thanks to my committee members Dr. Heather Allen and Dr. Craig Martin for your wisdom, feedback, and input. Dr. David Harper, thanks for doing all that you did. You were my surrogate committee member. Thanks to Dr. Carlisle Goddard and the staff and patients at the Endocrine Center in Barbados for your support. I could not have done this without you. Thanks to Dr. Noel Brathwaite for taking my phone call even though you did not know me and putting me in touch with Dr. Carlisle Goddard. Thanks to my son, Stephenson L Worrell Jr for keeping me grounded. Thanks to my youngest daughter, Tori Worrell for teaching me what patience, faith, and tenacity is all about. You have tested my faith and patience beyond recall. Thanks to my oldest daughter Tracia Quimby-Pease for reading and rereading. I appreciate you. Vanta and Maclaren Brewster, thanks for keeping my social life afloat. Vanta, you always knew when the books were closing in on me and would give me that needed call to get me out of the house. Hazel Hinkson-Harper, thanks for listening and letting me use those colorful words that I like to use when the pressure is on. Last but not least thanks to my sister Anette Quimby for listening and providing laughter. Thanks to those who were there for me but are too numerous to mention. To my five grandchildren (Chante Quimby, Jasmin and Shawn Bryan, Talani and Santana Roca), I love you and hope that I can be an inspiration to you.