A Bilingual Diabetes Self-Management Education Program for Hispanic Adults with Type 2 Diabetes Mellitus

2.50
Hdl Handle:
http://hdl.handle.net/10755/623558
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Qualitative Study, Other
Research Approach:
N/A
Title:
A Bilingual Diabetes Self-Management Education Program for Hispanic Adults with Type 2 Diabetes Mellitus
Author(s):
Castillo, Juanita
Additional Author Information:
Juanita Castillo, MSN, RN, CDE, juanitacastillo93@yahoo.com
Advisors:
Schmidt, John; Haggins, Rosemary; Gottlieb, Karen
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

The aim of this intervention was to determine whether diabetes self-management education will help Hispanics/Latinos with type 2 diabetes mellitus change unhealthy behaviors and effectively manage their disease. Healthcare free clinics serve a large majority of Hispanic/Latino patients who could benefit from a formalized diabetes education program. A 5-week bilingual program was provided to 10 of 80 Hispanic/Latino patients with diabetes identified in a search through the electronic medical records of a free clinic in Connecticut. From 80 patients interviewed by telephone, 20 expressed interest in participating, of which 10 completed the program. Patients were given pre- and post-tests using the revised Diabetes Knowledge Test and the Diabetes Empowerment Scale-Short Form. The transtheoretical model was applied to assess the patient’s readiness for change. Hemoglobin A1c levels, obtained at baseline and at 12 weeks, decreased from 6.89 at baseline to 6.64 at 12 weeks, with average mean .25% reduction. Over the 5 weeks, average weight decreased from 179.1 lb to 176.9 lb; all patients except one maintained or lost weight, for an average 2.2-lb weight loss. Blood pressure readings at 5 weeks had decreased in 70% of patients. In creating an environment where patients receive culturally enhanced comprehensive health care services, the goal of improving health outcomes can be achieved. Because the intervention was small with only 10 participants and of short duration, the results should be replicated with a larger group and for a longer period.

Keywords:
Bilingual Diabetes Self-Management; Hispanic Adults with Type 2 Diabetes
CINAHL Headings:
Diabetes Mellitus, Type 2--In Adulthood; Hispanics; Self Care; Transcultural Care; Transcultural Nursing; Diabetes Mellitus, Type 2; Diabetes Mellitus
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-11-27T21:25:58Z
Date of Publication:
2017-11-27

Full metadata record

DC FieldValue Language
dc.contributor.advisorSchmidt, Johnen
dc.contributor.advisorHaggins, Rosemaryen
dc.contributor.advisorGottlieb, Karenen
dc.contributor.authorCastillo, Juanitaen
dc.date.accessioned2017-11-27T21:25:58Z-
dc.date.available2017-11-27T21:25:58Z-
dc.date.issued2017-11-27-
dc.identifier.urihttp://hdl.handle.net/10755/623558-
dc.description.abstract<p>The aim of this intervention was to determine whether diabetes self-management education will help Hispanics/Latinos with type 2 diabetes mellitus change unhealthy behaviors and effectively manage their disease. Healthcare free clinics serve a large majority of Hispanic/Latino patients who could benefit from a formalized diabetes education program. A 5-week bilingual program was provided to 10 of 80 Hispanic/Latino patients with diabetes identified in a search through the electronic medical records of a free clinic in Connecticut. From 80 patients interviewed by telephone, 20 expressed interest in participating, of which 10 completed the program. Patients were given pre- and post-tests using the revised Diabetes Knowledge Test and the Diabetes Empowerment Scale-Short Form. The transtheoretical model was applied to assess the patient’s readiness for change. Hemoglobin A1c levels, obtained at baseline and at 12 weeks, decreased from 6.89 at baseline to 6.64 at 12 weeks, with average mean .25% reduction. Over the 5 weeks, average weight decreased from 179.1 lb to 176.9 lb; all patients except one maintained or lost weight, for an average 2.2-lb weight loss. Blood pressure readings at 5 weeks had decreased in 70% of patients. In creating an environment where patients receive culturally enhanced comprehensive health care services, the goal of improving health outcomes can be achieved. Because the intervention was small with only 10 participants and of short duration, the results should be replicated with a larger group and for a longer period.</p>en
dc.formatText-based Documenten
dc.language.isoenen
dc.subjectBilingual Diabetes Self-Managementen
dc.subjectHispanic Adults with Type 2 Diabetesen
dc.titleA Bilingual Diabetes Self-Management Education Program for Hispanic Adults with Type 2 Diabetes Mellitusen
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsJuanita Castillo, MSN, RN, CDE, juanitacastillo93@yahoo.comen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelQualitative Study, Otheren
dc.research.approachN/Aen
dc.subject.cinahlDiabetes Mellitus, Type 2--In Adulthooden
dc.subject.cinahlHispanicsen
dc.subject.cinahlSelf Careen
dc.subject.cinahlTranscultural Careen
dc.subject.cinahlTranscultural Nursingen
dc.subject.cinahlDiabetes Mellitus, Type 2en
dc.subject.cinahlDiabetes Mellitusen
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