Implementation and evaluation of a low health literacy and culturally sensitive diabetes education program
| Autor: | Edgardo Maldonado, Allison Vorderstrasse, Sherrine Eid, Deborah Swavely, Jeff Etchason |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Health Knowledge Attitudes Practice Low health literacy Health Behavior Ethnic group Type 2 diabetes Diabetes education Patient Education as Topic Diabetes mellitus medicine Humans Prospective Studies Prospective cohort study Language Glycated Hemoglobin business.industry Health Policy Blood Glucose Self-Monitoring Public Health Environmental and Occupational Health Hispanic or Latino Middle Aged medicine.disease Self Efficacy Disadvantaged Health Literacy Self Care Diabetes Mellitus Type 2 Physical therapy Survey data collection Female business |
| Zdroj: | Journal for healthcare quality : official publication of the National Association for Healthcare Quality. 36(6) |
| ISSN: | 1945-1474 |
| Popis: | Low health literacy is more prevalent in persons with limited education, members of ethnic minorities, and those who speak English as a second language, and is associated with multiple adverse diabetes-related health outcomes. This study examined the effectiveness of a low health literacy and culturally sensitive diabetes education program for economically and socially disadvantaged adult patients with type 2 diabetes. A pre-post prospective study design was used to examine outcomes over 12 months. Outcome measures included diabetes knowledge, self-efficacy, and self-care, measured using reliable and valid survey tools, and A1C. Over this period of time 277 patients were enrolled in the program, with 106 participants completing survey data. At the completion of the program patients had significant improvements in diabetes knowledge (p < .001), self-efficacy (p < .001), and three domains of self-care including diet (p < .001), foot care (p < .001), and exercise (p < .001). There were no significant improvements in the frequency of blood glucose testing (p = .345). Additionally, A1C values significantly improved 3 months after completing the program (p = .007). In conclusion, a diabetes education program designed to be culturally sensitive and meet the needs of individuals with low health literacy improves short-term outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text