Improving Diabetes Education in Mexican American Older Adults

2021 ◽  
pp. 104365962199466
Author(s):  
Olubanke M. Babalola ◽  
Theresa J. Garcia ◽  
Elizabeth F. Sefcik ◽  
Jessica L. Peck
Keyword(s):  
Family Involvement ◽  
Mexican American ◽  
Diabetes Education ◽  
Self Management ◽  
American People ◽  
Quality Improvement Initiative ◽  
Diabetes Knowledge ◽  
Culturally Competent ◽  
Care Community ◽  
Aged People

Lack of culturally sensitive, age-specific diabetes education in Mexican American older aged people may contribute to deficits in diabetes knowledge, self-management, and glycemic control. This quality improvement initiative applied evidence-based, culturally competent, age-specific education to improve health outcomes. A one-group, pretest/posttest design guided this project in a primary care community clinic. Mexican American adults >60 years, with type 2 diabetes mellitus (T2DM; N = 12) received 3 months of biweekly innovative classes including: healthy Mexican foods; family involvement; Spanish interpreter using simultaneous earphone technology; and interactive, bilingual, large-print materials. Paired sample t tests compared diabetes knowledge, self-management, and A1C levels. There was a significant improvement in preeducation and posteducation outcomes: knowledge, t(11) = −7.969, p = .000; d = 2.32, self-management, t(11) = −7.930, p = .000; d = 2.43, and A1C levels, t(11) = 6.434, p = .000; d = 0.78. Culturally competent, language-friendly innovation, age-specific T2DM education can positively impact knowledge, self-management behaviors, and glycemic values in older aged Mexican American people.

scholarly journals Translating Research into Practice: Impact of an Interprofessional Diabetes Education Model on Patient Health Outcomes

2014 ◽  
Vol 4 (2) ◽  
Author(s):  
Olayinka O. Shiyanbola ◽  
Becky Randall ◽  
Cristina Lammers ◽  
Karly A. Hegge ◽  
Michelle Anderson
Keyword(s):  
Health Promotion ◽  
Clinical Outcomes ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Health Behaviours ◽  
Self Management ◽  
Health Promotion Program ◽  
Diabetes Knowledge ◽  
Foot Care ◽  
Eye Care

Background: Patient education programs encouraging diabetes self-management can improve clinical outcomes and lessen diabetes complications. This study implemented an innovative interprofessional student-led diabetes self-management and health promotion program for an underserved population and demonstrated an improvement in participant clinical outcomes and students’ understanding of interprofessional aspects of diabetes care.Methods and Findings: This community-based program was implemented at two sites that serve medically underserved individuals. Students from five health career professions led educational sessions designed to demonstrate critical components of diabetes self-management. The six-month longitudinal program covered topics within the Alphabet Strategy, including Advice, Blood pressure, Cholesterol, Diabetes control, Dental care, Diet, Eye care, Foot care, and Guardian drugs. Participants completed surveys evaluating diabetes knowledge, understanding of diabetes care, and health behaviours. Clinical values were collected before and after the program. Student surveys assessed their understanding of diabetes self-management. Upon completion of the program, all assessments were repeated to determine if there were improvements in outcomes. Thirty-eight participants and thirty students completed the study. There were significant improvements in participants’ diabetes knowledge, understanding of diabetes management, and clinical outcomes. There were significant improvements in the students’ ability to educate patients about foot care, eye care, and guardian drugs, as well as increased awareness of the role of each health profession in diabetes care.Conclusions: This interprofessional health promotion model showed significant improvements in patient and student outcomes. This innovative student-led program could be implemented in other settings and for the management of other chronic diseases.

scholarly journals 1044 Adequate Sleep is Associated with Improved Diabetes Knowledge and HbA1c

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A396-A397
Author(s):  
A Pandey ◽  
L Cooper ◽  
J Zrebiec ◽  
C Spadola ◽  
R L Bennett ◽  
...  
Keyword(s):  
Management Education ◽  
Diabetes Education ◽  
Sleep Hygiene ◽  
Self Report ◽  
Self Management ◽  
Future Research ◽  
Diabetes Knowledge ◽  
Emotional Wellbeing ◽  
Motivation For Change ◽  
The Relationship

Abstract Introduction Although 55 % of the people with T2DM have low quality of sleep that may affect their physical and emotional wellbeing, and present challenges to the management of their condition, many Diabetes Self-Management Education Programs (DSME) that aim to improve knowledge of T2DM, don’t include information on healthy sleep. This study will examine the relationship between adequate sleep on improved T2DM knowledge and diabetes maintenance (HbA1c). Methods The Sleep Integrated with Diabetes Education (SLIDE) Trial tests whether including four brief healthy sleep hygiene sessions within an existing traditional Diabetes Self-Management Education Program improves healthy sleep, motivation for change, and biopsychosocial outcomes for 50 patients with DM who are under and uninsured. This study uses descriptive and ANOVAs to examine the relationship between adequate sleep and change in diabetes knowledge (Diabetes Knowledge Test) using self-report. EMR was used to link HbA1c and other biological measures. Results Fifty patients with T2DM (mean HbA1c = 8.79 ± 2.42) participating in a DSME Program at a southern urban community nonprofit hospital were randomly assigned to DSME classes or DSME classes + four 15-minute presentations (video and powerpoint) highlighting healthy sleep hygiene practices. The majority of these patients were obese (mean BMI=38.56±8.20). Only 11% reported normal sleep, with 41% reporting short sleep (<6 hours) and 7% long sleep (>8 hours). Patients who reported adequate sleep were more likely to improve diabetes knowledge (81% score vs. 68% score, p<.001) and HbA1c (1.1 vs. -.03, p<.001). Conclusion There is a relationship between adequate sleep and improving diabetes knowledge and maintenance for patients with T2DM. Future research could further explore this relationship and determine barriers and facilitators to adequate sleep and what role adequate sleep plays in improving T2DM knowledge and maintenance. Support Bon Sequor Foundation

scholarly journals A qualitative study of users’ experiences after 3 months: the first Rwandan diabetes self-management Smartphone application “Kir’App”

2020 ◽  
Vol 11 ◽  
pp. 204201882091451
Author(s):  
Claudine B. Kabeza ◽  
Lorenz Harst ◽  
Peter E.H. Schwarz ◽  
Patrick Timpel
Keyword(s):  
Qualitative Content Analysis ◽  
Diabetes Education ◽  
Information Provision ◽  
Smartphone Application ◽  
Self Management ◽  
Diabetes Knowledge ◽  
Face To Face ◽  
Management Application

Background: Owing to the increasing popularity of smartphones in Rwanda, almost 75% of the entire population currently has access to the internet. Although it has been shown that smartphone applications can support diabetes self-management, there was no diabetes self-management application available in Rwanda until April 2019. Based on the findings of a prior study assessing the needs and expectations of potential users, ‘Kir’App’ was developed to fill that void. The aim of this study was to evaluate users’ experiences after 3 months of use of the first Kir’App prototype. Methods: The participants of the previous study were recruited to take part in the current study. Semi-structured, in-depth, face-to-face interviews were conducted. Findings were analysed thematically using Mayring’s method of qualitative content analysis. Both deductive and inductive approaches were used to analyse transcripts according to the original categories and subcategories of the previous study. Results: A total of 14 people with either type 1 or type 2 diabetes participated in the study. Age of participants ranged from 19 to 70 years, with a mean age of 34.4 years. Seven of the eight original themes and one additional theme were subjoined: diabetes education and desired information provision; increased diabetes knowledge and awareness; monitoring and reminder functions; nutrition; physical activity; coping with burden of disease; app features; use behaviour and usability. Overall, participants stated that the app increased their diabetes knowledge and assisted them with their diabetes self-management. Conclusions: We found that the first prototype of Kir’App meets the overall needs and expectations of participating Rwandan diabetics. Having followed a strict user-centred design process, their qualitative insights will help to further improve the app.

scholarly journals Assessment of knowledge of Saudi female teenagers & their mothers regarding management of type I diabetes in the City of Abha

2017 ◽  
Vol 7 (9) ◽  
pp. 121
Author(s):  
Salwa Ibrahim Beshi ◽  
Salma Moawad ◽  
Sahar M. Yakout
Keyword(s):  
Parental Monitoring ◽  
Diabetes Management ◽  
Type I Diabetes ◽  
Diabetes Education ◽  
Self Management ◽  
Type I ◽  
Diabetes Knowledge ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Female Teenagers

Background: Diabetes is predicted to become the seventh leading cause of death in the world by the year 2030. In adolescence self-image is being constructed and diabetes self-care becomes an integral part of daily life. Diabetes management is better when parents remain involved in diabetes care through parental monitoring, a construct frequently measured as parents’ overall knowledge of their adolescents’ illness management. The main aim of this study was to assess the Knowledge of Saudi Female Teenagers and Their Mothers Regarding Management of type I Diabetes in the Abha.Methods: The study was carried out in Abha diabetic center. A descriptive, cross-sectional design was used. A non-probability, convenience sample of diabetic Saudi female teenagers (150) and their mothers (150) was required. The researcher prepared a two-sheet questionnaire. The questionnaire was developed from a modified Simplified Diabetes Knowledge Test (DKT) derived from the Revised Diabetes Knowledge Scale, developed by Lloyd (2011) and Fitzgerald (1998), diabetes self-management and the day care diabetes education questionnaire.Results: More the two third of mothers 30 years old and more, and 46% their level of education secondary school and more but more than two third were home wife. On the other hand, more than two third of diabetic teenage were their age 16-19 years, and 50% intermediate school age. The teenager girls and their mothers (72%, 63%) respectively not participate at any classes related to health education about management. Although only 7% not have any diabetic complication and statistical analysis show highly significant different between response of mothers and their daughters. In general, it is obvious that most of the mother do not aware or do not carefully follow their daughters in respect of diabetes self-management through diet, physical practice and blood glucose level. Also, mothers’ characteristics do not influence on daughters' knowledge level about diabetes self-management. The only factor that has a significant influence on teen females' knowledge was the duration since diagnosed as diabetic.Conclusions: According to the results of the study, it is concluded that both mother and their daughter had lack of awareness and knowledge in most of aspects of diabetes management so the researcher suggested family-based interventions, implementation of home visit programs and integrated ongoing programs of education, monitoring and support for young people and their families living with diabetes are needed. Further research needs and the paradigm used in the present study should be expanded to include fathers, other family members and friends.

623-P: Phone-Based Diabetes Education Improves Diabetes Knowledge and Patient–Provider Conversations

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 623-P
Author(s):  
RYAN WOOLLEY ◽  
ZACHARY WHITE ◽  
SHAMERA ROBINSON ◽  
JO MANDELSON ◽  
KELLY MUELLER
Keyword(s):  
Diabetes Education ◽  
Diabetes Knowledge

scholarly journals Are Podcasts Effective at Educating African American Men About Diabetes?

2012 ◽  
Vol 6 (5) ◽  
pp. 365-367 ◽  
Author(s):  
Jarrett Johnson ◽  
Levi Ross ◽  
Walter Iwanenko ◽  
Judith Schiffert ◽  
Arup Sen
Keyword(s):  
African American ◽  
Inner City ◽  
Diabetes Prevention ◽  
African American Men ◽  
Diabetes Education ◽  
Diabetes Research ◽  
Diabetes Knowledge ◽  
Paired Samples ◽  
Limited Effectiveness ◽  
Individual Knowledge

Education is a critical component of the National Blueprint to eliminate racial disparities in diabetes. Research indicates that traditional methods of diabetes education has had limited effectiveness with minority populations and suggests that different educational approaches be explored. The purpose of the research was to explore the effectiveness of an emergent technology (podcast) for use in educating inner-city, African American men about diabetes prevention. Thirty African American men participated in self-administered, pretest–posttest surveys in August 2009. Surveys collected information on demographic characteristics, perceptions of diabetes, and diabetes knowledge. Paired samples t test was computed to evaluate pretest–posttest changes in overall knowledge. McNemar or binomial tests were computed to evaluate pretest–posttest knowledge changes on each of the 15 individual knowledge items. Diabetes knowledge scores for the sample increased from 8.27 at pretest to 10.47 at posttest ( p = .001). Posttest knowledge scores increased for 77% of men, stayed the same for 13%, and decreased for 10%. Men who listened to the podcast correctly answered 40% more knowledge questions on their posttest assessments. Results from this exploratory study suggest that podcasts are useful for helping inner-city, African American men recall diabetes prevention information. Additional research is recommended with larger randomly selected samples using more rigorous research designs.

Reliability and Validity A Quick Review

2007 ◽  
Vol 33 (5) ◽  
pp. 775-780 ◽  
Author(s):  
Karen Fitzner
Keyword(s):  
Construct Validity ◽  
External Validity ◽  
Diabetes Education ◽  
Reliability And Validity ◽  
Management Training ◽  
Self Management ◽  
Validity Testing ◽  
Education Practice ◽  
Rigorous Testing ◽  
Diabetes Educators

The purpose of this article is to provide a brief review of reliability and validity testing. These concepts are important to researchers who are choosing techniques and/or developing tools that will be applied and evaluated in diabetes education practice. Several types of reliability and validity testing are defined, and an easy-to-use check sheet is provided for research purposes. Following testing for the basic aspects of reliability and validity such as face and construct validity, a tool may be appropriate for use in practice settings. Those conducting comprehensive outcomes evaluations, however, may desire additional validation such as testing for external validity. Diabetes educators can and should incorporate rigorous testing for these important aspects when conducting assessments of techniques and tools relating to diabetes self-management training.

Effects of a diabetes education intervention on diabetes-related factors among Mexican-origin Hispanics

2019 ◽  
Vol 79 (5) ◽  
pp. 501-515
Author(s):  
Ana Florencia Moyeda-Carabaza ◽  
Mary W Murimi ◽  
John A Dawson ◽  
Fabiola Carrales-Bruno
Keyword(s):  
Nutrition Education ◽  
Diabetes Education ◽  
Design Procedure ◽  
Mexican Origin ◽  
Diabetes Knowledge ◽  
Related Factors ◽  
Piedras Negras ◽  
Positive Attitudes ◽  
Education Design ◽  
Prevention Of Diabetes

Purpose: The purpose of this study was to assess diabetes-related factors, such as diabetes knowledge, positive attitudes towards the prevention of diabetes and its complications, self-efficacy for diabetes, dietary intake and level of food security, and to investigate the effects of a diabetes education intervention (DEI) on diabetes-related factors among Mexican-origin Hispanics with or without diabetes in Lubbock, Texas (USA), and Piedras Negras, Coahuila (Mexico). Methods: A one-sample pre–post design was used to evaluate the effect of a 4-week DEI designed using the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language. Results: Participants from Piedras Negras, Coahuila had higher rates of food insecurity and a higher consumption of whole grains than those from Lubbock, Texas, while participants from Lubbock, Texas, had higher levels of diabetes knowledge and higher consumption of protein foods than those from Piedras Negras, Coahuila. Thirty-five participants from both locations started and completed the DEI. After the intervention, there was an increase in participants’ scores in diabetes knowledge, positive attitudes towards the prevention of diabetes and self-efficacy for diabetes, and a decrease in their intake of grains and fats. Participants in Piedras Negras, Coahuila had greater improvements in positive attitudes towards the diabetes score than those in Lubbock, Texas. Conclusion: Findings from this study suggest that a DEI that integrates the use of the Nutrition Education DESIGN Procedure, Mexican cultural features and Spanish language is effective in improving diabetes-related factors and dietary intakes among Mexican-origin Hispanics in both the USA and Mexico.

scholarly journals Challenges of Diabetes Self-Management in Adults Affected by Food Insecurity in a Large Urban Centre of Ontario, Canada

2021 ◽  
Author(s):  
Justine Chan ◽  
Margaret De Melo ◽  
Jacqui Gingras ◽  
Enza Gucciardi
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
Local Community ◽  
Diabetes Education ◽  
Self Management ◽  
Semistructured Interview ◽  
Management Support ◽  
Urban Centre ◽  
Education Centre ◽  
Screening Questions

Objective. To explore how food insecurity affects individuals’ ability to manage their diabetes, as narrated by participants living in a large, culturally diverse urban centre. Design. Qualitative study comprising of in-depth interviews, using a semistructured interview guide. Setting. Participants were recruited from the local community, three community health centres, and a community-based diabetes education centre servicing a low-income population in Toronto, Ontario, Canada. Participants. Twenty-one English-speaking adults with a diagnosis of diabetes and having experienced food insecurity in the past year (based on three screening questions). Method. Using six phases of analysis, we used qualitative, deductive thematic analysis to transcribe, code, and analyze participant interviews. Main Findings. Three themes emerged from our analysis of participants’ experiences of living with food insecurity and diabetes: (1) barriers to accessing and preparing food, (2) social isolation, and (3) enhancing agency and resilience. Conclusion. Food insecurity appears to negatively impact diabetes self-management. Healthcare professionals need to be cognizant of resources, skills, and supports appropriate for people with diabetes affected by food insecurity. Study findings suggest foci for enhancing diabetes self-management support.

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