A Culturally Appropriate Self-Management Program for Hispanic Adults with Type 2 Diabetes and Low Health Literacy Skills

Brunk, Debra, Nursing Practice - School of Nursing, University of Virginia
Gill Taylor, Ann, School of Nursing, University of Virginia

The global diabetes epidemic has disproportionately affected the Hispanic population. Along with the prediction that within the next few decades a great proportion of population growth in the United States will be among the Hispanic population, the accompanying increase in type 2 diabetes (T2D) will greatly impact the U.S. health care system. To reduce the morbidity and mortality from diabetes in this population, culturally appropriate approaches to disease self-management are needed. This project assessed the feasibility of adapting a patient-centered educational intervention that addresses diet, physical activity, and meaningful self-monitoring of blood glucose for a Hispanic population with low health literacy skills. In four 2-hour class and focus group sessions, the educational program was presented in Spanish to nine Hispanic adults with T2D recruited within a rural community health care setting in central Virginia. The participants’ feedback during the group sessions clustered around four themes: information and knowledge, motivation and barriers to change, experiences with new behaviors, and personal responsibility. The feedback supported the feasibility of the instructional approach within a group of low health literacy Hispanic adults with T2D. Findings from the project may help in the further development of tools and strategies for improved T2D self-management in the Hispanic American population.

DNP (Doctor of Nursing Practice)
type 2 diabetes, Hispanic adults, diabetes self-management education, health literacy, glycemic load, blood glucose self-monitoring
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