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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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"It Feels Good to Know That Someone Cares".

Annie L Nguyen1, Enedina Sepulveda2, Marco Angulo2

  • 11 University of Southern California, Alhambra, CA, USA.

Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses
|June 1, 2017
PubMed
Summary

Hispanic adults are motivated to attend diabetes self-management education (DSME) classes by a desire for control, family history, and the social support offered. Culturally relevant content and group dynamics are key to improving participation and retention in DSME programs.

Keywords:
Hispanicattritionbarriersdiabetes self-managementeducationmotivations

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Area of Science:

  • Public Health
  • Health Disparities
  • Diabetes Management

Background:

  • Diabetes is a leading cause of mortality within Hispanic communities.
  • Diabetes self-management education (DSME) is crucial for preventing complications but is underutilized.
  • Understanding motivations for DSME participation is vital for improving health outcomes.

Purpose of the Study:

  • To explore the motivations of Hispanic adults for attending DSME classes.
  • To identify effective strategies for enhancing participation and retention in DSME programs.

Main Methods:

  • Conducted seven focus groups with nineteen Hispanic adults in Spanish.
  • Utilized audio-recording, transcription, and translation of discussions.
  • Employed thematic content coding by two independent coders.

Main Results:

  • Key motivations included frustration with physiological changes and family history of diabetes complications.
  • Participants valued free access to information and the sense of control gained from the classes.
  • The group setting provided crucial emotional, informational, and peer support, especially for those lacking family support for lifestyle changes.

Conclusions:

  • The perceived value of DSME classes extends beyond knowledge acquisition.
  • Culturally relevant content is essential for engaging Hispanic adults in diabetes education.
  • Leveraging the social and supportive aspects of group settings can significantly enhance DSME participation and retention.