Development and Evaluation of a Blood Glucose Monitoring YouTube Video for Marshallese Patients Using a Community-Based Participatory Research Approach

Abstract

The purpose of this study was to (a) describe the development of a culturally appropriate glucose monitoring video using a community-based participatory research approach and (b) assess the cultural appropriateness and effectiveness of the video. The topic of the video—using a glucometer and the importance of performing blood glucose checks—was chosen by Marshallese community stakeholders. The video was produced in Marshallese with English subtitles and disseminated through YouTube. Participants were recruited from August 16, 2016 to September 12, 2016 in a diabetes clinic that serves Marshallese patients in northwest Arkansas. Fifty participants completed a survey at pre- and postintervention, with questions capturing demographic information and questions on glucose monitoring self-efficacy using an adapted version of the Stanford Patient Education Research Center's Diabetes Self-Efficacy Scale. Twenty of those participants who completed the survey also completed semistructured interviews that assessed cultural appropriateness and effectiveness of the video. Participants reported significant increases in self-efficacy related to glucometer use and the importance of performing blood glucose checks ( p < .001) and a 1.45% reduction in A1C between preintervention and 12 weeks postintervention ( p = .006). Qualitative results indicated the video was both culturally appropriate and effective. The findings of this study were consistent with evidence in the literature, which shows health education videos can be effective at improving health behaviors. Using a community-based participatory research approach to prioritize video topics, and including members of the community in the creation and dissemination of the videos, could aid in ensuring the videos are effective and culturally appropriate.

Pasifika prediabetes youth empowerment programme: evaluating a co-designed community-based intervention from a participants’ perspective

“…Our study endorses the notion that information sharing partnered with empowering people to generate their own solutions to the health issues have better outcomes in producing sustained behaviour changes, as well as, having an impact on peoples' lifestyles, particularly when they are supported by the community provider. Previous Pasifika studies (Powers et al 2015;McElfish et al 2019) have included other behavioural self-management approaches, such as videos and other aids have been effective and culturally appropriate to delay the development of, and manage conditions like T2DM. Nonetheless, our approach has been well supported by other studies (Baird et al 2014;Lawrence et al 2016).…”

Community-Based Participatory Research to Improve Cardiovascular Health Among US Racial and Ethnic Minority Groups

“…Social support and cultural factors can fortify social support networks, reinforce cultural identity, and enhance diabetes self-management [ 31 ]. One study that created and disseminated a glucose monitoring video in Marshallese with English subtitles achieved a 1.45% reduction in hemoglobin A1c ( p = 0.006) [ 32 ].…”

What Lessons Can Be Learned for the Agroecological Transition From the Use of Social Media in Preventive Medicine?

“…Wittenberg-Lyles et al (2015) reported that people who are experiencing the same difficult situation simultaneously and who are members of the same community of interaction end up helping one another by exhibiting greater tolerance levels than would be exhibited by a third party not experiencing the same situation. McElfish et al (2019) reported that developing education based on preventative actions requires the community to be included from the time at which the message is designed. Specifically, based on their study of Marshallese Americans, they report that creating a video featuring a participatory approach that is also recorded in the participants' native language can enable the dissemination of content adapted to this population, which can have a positive impact on patients in terms of their levels of knowledge, everyday practices, and health.…”