%0 Journal Article %T Identification of Family Factors That Affect Self %A Karen V. Lamb %A Peng Yue %A Shuqin Xiao %A Xiangyun Chen %A Xinwei Feng %A Ying Wu %A Yongli Wang %J Journal of Transcultural Nursing %@ 1552-7832 %D 2019 %R 10.1177/1043659618793713 %X Introduction: In the past 30 years, the prevalence of diabetes in China has increased from 0.67% to 11.6%. Self-management behaviors (SMBs) are significant to improve health outcomes for diabetics. However, little is known about self-management experiences of Chinese diabetic patients. The purpose of this study was to explore family factors affecting SMBs. Methodology: A qualitative descriptive study was used. Purposive samples were recruited from Chinese communities. Semistructured interviews were conducted, and audio-recordings transcripts were analyzed using content analysis methods. Results: Twenty participants were interviewed, including 8 with well-controlled HbA1c while 12 were poorly controlled. Facilitators that promote patients¡¯ SMBs were responsibility toward children and commitment to spouse; barriers that hinder patients¡¯ SMBs were family experiences about starvation, seeking harmony-eating in a big family, living in an ¡°empty nest,¡± and family financial burden. Discussion: This study provides insight into SMBs of Chinese diabetic patients. Professionals can develop tailored interventions in a Chinese cultural context according to patients¡¯ perceptions of family responsibility, early experience, activities, and resources %K family %K self-management behaviors %K type 2 diabetes mellitus %K Chinese culture %K qualitative approaches %U https://journals.sagepub.com/doi/full/10.1177/1043659618793713