Family Model of Diabetes Education With a Pacific Islander Community

McElfish, Pearl A.; Bridges, Melissa; Hudson, Jonell; Purvis, Rachel S.; Bursac, Zoran; Kohler, Peter O.; Goulden, Peter

doi:10.1177/0145721715606806

Cited by 50 publications

(86 citation statements)

References 29 publications

(23 reference statements)

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“…7–9,15 Prior studies evaluating DSME have failed to show glycemic control among participants. 16,17 Cultural adaption of DSME has been shown to be an effective strategy in other minority populations.…”

Section: Discussionmentioning

confidence: 99%

Health Beliefs of Marshallese Regarding Type 2 Diabetes

McElfish¹,

Hallgren²,

Henry³

et al. 2016

Am J Hlth Behav

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Objectives The Marshallese population suffers from disproportionate rates of type 2 diabetes. This study identifies the underlying beliefs and perceptions that affect diabetes self-management behavior among the US Marshallese population living in Arkansas. Methods The study uses qualitative focus groups with a semi-structured interview guide developed using a community-based participatory research (CBPR) approach and the Health Belief Model. Data was collected from a total of N = 41 participants and bilingual community co-investigators provided translation as needed. Results The results show high-perceived threat, with most participants describing diabetes as inevitable and a death sentence. Participants are generally unaware of the benefits of diabetes self-management behaviors, and the Marshallese population faces significant policy, environmental, and systems barriers to diabetes self-management. The primary cue to action is a diagnosis of diabetes, and there are varying levels of self-efficacy. Conclusions The research grounded in the Health Belief Model provides important contributions that can help advance diabetes self-management efforts within Pacific Islander communities.

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Section: Discussionmentioning

confidence: 99%

Health Beliefs of Marshallese Regarding Type 2 Diabetes

McElfish¹,

Hallgren²,

Henry³

et al. 2016

Am J Hlth Behav

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“…In 2015, McElfish, et al found that DSME in the home was effective when DSME was provided in a family setting in the home [11], but there is limited literature on this combined approach.…”

Section: Introductionmentioning

confidence: 99%

Diabetes Self-Management Education in the Home

Lavelle

Zeitoun

Stern

et al. 2016

Cureus

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PurposeDiabetes self-management education and home visits have been found to improve clinical outcomes in individuals living with diabetes. The purpose of this pilot project was to evaluate the feasibility and effectiveness of conducting self-management education in patients' homes.MethodsBaseline biometric data was collected from a cohort of adult patients with diabetes. Home visits to 19 patients were conducted by doctoral students from Rutgers University School of Nursing. The visits included knowledge assessment, review of foods in the home, diabetes self-management education, and teaching the proper use of monitoring tools such as the glucometer and blood pressure monitor. Biomarkers were obtained post-intervention and were compared to baseline biomarkers. Descriptive lifestyle data was collected and opportunities for customized patient education were provided.ResultsThe biomarkers improved overall during the four months after the education intervention. The mean A1C reduced 12% (p=0.0107), the mean glucose reduced 12% (p=0.0994), the mean BMI reduced 2% (p=0.1490), the systolic pressure reduced 1% (p=0.4196), and the diastolic pressure remained stable. Specific goal setting further increased the improvement in the area the individual planned to address. ConclusionsThis project supports prior studies that found that in-home educational programs can improve the self-management of diabetes and lead to improvement in health indicators. The benefits of the study included personal attention in ensuring the correct use of home health monitoring devices, building self-management confidence, and identifying treatment barriers that may not be easily discerned in a clinic setting.

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“…Stakeholders recommended that DSME be implemented within an extended family model so additional family members could benefit and the patient with diabetes would be supported by their family members (Hallgren et al, 2015; McElfish et al., 2016). Stakeholders continue to work side by side with researchers to culturally adapt DSME for implementation in a family model (McElfish, Bridges, et al, 2015). …”

Section: Process and Resultsmentioning

confidence: 99%

Engagement practices that join scientific methods with community wisdom: designing a patient‐centered, randomized control trial with a Pacific Islander community

et al. 2016

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This article illustrates how a collaborative research process can successfully engage an underserved minority community to address health disparities. Pacific Islanders, including the Marshallese, are one of the fastest growing US populations. They face significant health disparities, including extremely high rates of type 2 diabetes. This article describes the engagement process of designing patient-centered outcomes research with Marshallese stakeholders, highlighting the specific influences of their input on a randomized control trial to address diabetes. Over 18 months, an interdisciplinary research team used community-based participatory principles to conduct patient-engaged outcomes research that involved 31 stakeholders in all aspects of research design, from defining the research question to making decisions about budgets and staffing. This required academic researcher flexibility, but yielded a design linking scientific methodology with community wisdom.

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Family Model of Diabetes Education With a Pacific Islander Community

Cited by 50 publications

References 29 publications

Health Beliefs of Marshallese Regarding Type 2 Diabetes

Health Beliefs of Marshallese Regarding Type 2 Diabetes

Diabetes Self-Management Education in the Home

Engagement practices that join scientific methods with community wisdom: designing a patient‐centered, randomized control trial with a Pacific Islander community

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