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From Knowledge to Action: Community-Based Strategies that Transform Diabetes Self-Management Among Black Adults with
Eric Peprah Osei1, Folarin Olanrewaju2, Pamela Martyn-Nemeth3
1Department of Biobehavioral Nursing Science, College of Nursing, University of Illinois Chicago, 845 S. Damen Avenue, Chicago, IL, 770-655-9012, USA. epepra2@uic.edu.
Journal of Racial and Ethnic Health Disparities
|July 13, 2026
Summary
Culturally tailored diabetes self-management education and support (DSMES) interventions are effective for Black adults with type 2 diabetes (T2D). Programs should focus on cultural relevance and adherence barriers for sustainability.
Area of Science:
- Public Health
- Health Disparities
- Diabetes Management
Background:
- Black adults with type 2 diabetes (T2D) face higher complication rates.
- Culturally tailored diabetes self-management education and support (DSMES) aims to improve outcomes.
- Strategies for successful DSMES in this population are underexplored.
Purpose of the Study:
- To examine implementation strategies in community-based DSMES for Black adults with T2D.
- Identify effective practices and challenges.
- Provide recommendations for program design and policy.
Main Methods:
- Scoping review of quantitative and qualitative studies.
- Searched PubMed, CINAHL, Scopus, EMBASE.
- Used Arksey and O'Malley framework and MMAT for quality assessment.
Main Results:
- Thirteen studies met inclusion criteria; quality varied.
- Interventions improved diabetes knowledge, self-care, and psychosocial outcomes.
- Peer support, community health workers, and faith-based programs showed benefits; retention was a challenge.
Conclusions:
- Community-based, culturally tailored DSMES is feasible and effective for Black adults with T2D.
- Future programs need cultural relevance and must address adherence barriers.
- Reporting outcomes is crucial for sustainable practice and policy.
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