Item Details

APRN-Led Culturally Tailored Diabetes Self-Management Education (DSME) for Spanish-Speaking Hispanic Americans (SSHAs)

Krieg, Lisa
Format
Thesis/Dissertation; Online
Author
Krieg, Lisa
Advisor
Reid, Kathryn
Abstract
Type 2 diabetes mellitus disproportionately affects ethnic minorities in the United States, including Hispanic Americans, and incurs a costly disease burden. This APRN-led project implemented a culturally tailored Diabetes Self-Management Education (DSME) program for Spanish-speaking Hispanic Americans (SSHAs) using medically-trained, bilingual, bicultural interpreters (BBIs) and the Diabetes Conversation Map™. Eight SSHAs with hemoglobin A1c (HbA1c) over 7.0% were recruited to participate in the one-day DSME program. Program evaluation was accomplished using pretest/posttest measures of diabetes knowledge, self-efficacy, HbA1c, and program satisfaction. Bilingual, bicultural interpreters (BBIs) guided participants through the translated Diabetes Conversation Map™, “On the Road to Better Managing Your Diabetes,” an engaging tool that facilitates learning through group conversation. The APRN leader incorporated a family-style approach and provided diabetes-friendly snacks. Low literacy take-home handouts depicted familiar carbohydrates and appropriate portion sizes. In this predominantly female sample from primarily El Salvador and Mexico (75% female, mean age 52), diabetes knowledge improved (Wilcoxon Signed Ranks Test, z=-2.041, p=.041); self-efficacy (p=.176) did not change. HbA1c was measured prior to the one day class and again three months later; HbA1c (p=.854) did not change significantly. Patient satisfaction was high at 4.839/5 (96.8%), an indication of active engagement. This APRN-led team of RNs and BBIs provided effective culturally-tailored DSME for this sample of SSHAs. Future longitudinal evaluation will examine relationships between knowledge and self-efficacy, participant satisfaction and program attendance, and HbA1c to identify DSME factors associated with reduced diabetes burden in this vulnerable population.
Language
English
Date Received
20170428
Published
University of Virginia, School of Nursing, DNP (Doctor of Nursing Practice), 2017
Published Date
2017-04-28
Degree
DNP (Doctor of Nursing Practice)
Collection
Libra ETD Repository
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