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Family-Based, Culturally Responsive Intervention for Chinese Americans With Diabetes: Lessons Learned From a

Wen-Wen Li1, Jacqueline Tong1

  • 1San Francisco State University, San Francisco, CA, United States.

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|November 20, 2023
PubMed
Summary

Family-based interventions show promise for improving diabetes care in Chinese Americans. Future research should focus on culturally appropriate, dyad-based study designs to enhance diabetes management and patient outcomes.

Keywords:
ChineseChinese AmericansHbA1ccultural interventiondiabetesdiabetes carediabetes managementeffectivenessfamily-based interventionimplementationinterventionpatientpatient educationprevalencesystematic review

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Area of Science:

  • Public Health
  • Chronic Disease Management
  • Health Disparities

Background:

  • High prevalence of diabetes in the US, with Chinese Americans representing a significant and growing proportion.
  • Limited research exists on effective diabetes interventions tailored for the Chinese American population.
  • Addressing health disparities in diabetes care for minority groups is a critical public health concern.

Purpose of the Study:

  • To conduct a literature review to inform the design of future studies on family-based interventions for Chinese Americans with diabetes.
  • To identify effective study designs and interventions for improving diabetes care in this population.
  • To explore culturally responsive approaches for diabetes management.

Main Methods:

  • A comprehensive literature search was performed across multiple databases (PubMed, CINAHL, ScienceDirect, etc.) from January to April 2023.
  • Key search terms included "diabetes type 2," "Chinese patients," "family interventions," and "culturally responsive interventions."
  • Selection criteria focused on studies examining family-based interventions for Chinese American individuals with diabetes.

Main Results:

  • Ten articles met the inclusion criteria, indicating that multi-session education and counseling for patients and families show promise.
  • Recruiting 20-60 patient-family dyads is recommended to assess family dynamics in diabetes care and management.
  • Glycated hemoglobin (HbA1c) was the primary outcome measure, with secondary outcomes including knowledge and self-efficacy in diabetes management.

Conclusions:

  • Family-based interventions are crucial for optimizing diabetes care among Chinese Americans.
  • Dyad recruitment (patient and family member) is essential for evaluating intervention efficacy.
  • Culturally appropriate study protocols, leveraging technology for intervention delivery, can enhance recruitment, retention, and overall effectiveness.