Type 2 diabetes, spousal/romantic partner support and medication adherence among Black adults: A qualitative study

Medication adherence plays an integral role in type 2 diabetes mellitus (T2DM) self- management and optimal control of this health condition. Black adults are disproportionately impacted by T2DM compared to their White counterparts. Researchers suggest perceived social support from spouses and romantic partners can be beneficial in helping individuals to cope with T2DM and maintain adherence to the medication regimen. However, there is a paucity of research focused on Black adults married or in a romantic partnership living with T2DM and their perception of support from their partner and it’s influence on one’s medication adherence. This study focused on unveiling perceptions of Black adults related to this phenomenon. In this study, a qualitative descriptive approach was utilized to explore perceptions of ten participants. Through semi structured interviews, participants vividly shared their attitudes and beliefs related to perceived social support. Several themes emerged through the analysis of the data, such as: having my back, encouragement to persevere, being a team, moral support, help with logistics of medication regimen, tangible checks and balances, and constant reminders from partners. In addition, data were further explored by dividing the participants into groups based on biological sex. From this exploration two additional themes emerged: coping with the consequences of diabetes and support translating to feelings of love. Findings from this qualitative descriptive study can be used to provide important concepts related to spousal/romantic partner support and its importance to individuals managing T2DM. Self-management educational programs that include the partner can help diabetes educators and practitioners empower Black adults to remain adherent to their medication regimen and cope with their illness.