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

Debra Brunk
Acknowledgments I would like to acknowledge the members of this capstone committee for their guidance and support during the project. I am indebted, in particular, to the chair of the committee and academic advisor, Professor Ann Gill Taylor, for the innumerable hours given throughout each phase of the project to ensure the success of this endeavor. To her and to the rest of the GEM investigators I am grateful for the opportunity to have been a part of their team, which offered a unique
more » ... experience and a launching pad for this project. A special thank you is given to the patients and staff at Blue Ridge Medical Center; the individuals who participated in the project; and to Vanessa Hale, coordinator for Latino outreach. I am grateful, too, for the financial award provided from the University of Virginia School of Nursing Rodriguez Nursing Student Research and Leadership Fund, which facilitated the implementation and conduct of this capstone project. Abstract 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 selfmanagement 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.
doi:10.18130/v33g1f fatcat:b4rbswc35jbfjac7o6tydgo2ue