A culturally sensitive Healthy Interactions Conversations Maps program was implemented for teaching diabetes self-management education (DSME) to Latinos with type 2 diabetes using peer-led educators in a community health center. Patients were invited to participate in a group care setting to improve access to providers and DSME. Goals were to improve diabetes distress, self-efficacy, and glycemic control as measured by A1C. Significant improvements were found for mean diabetes self-efficacy scores from before (2.53 6 0.59) to after (2.91 6 0.50) DSME (P ,0.001). Mean A1C decreased significantly from before (9.51 6 1.72%) to after (8.79 6 1.68%) DSME (P 5 0.043) at the end of the 6-month intervention. Thus, this program was found to be a useful tool for providing DSME in community health clinics serving low-income Latinos.As the fastest growing racial/ethnic minority, Latinos are disproportionately affected by diabetes, and their risk of developing diabetes is 66% higher than that of Caucasians (1). Moreover, Latinos are twice as likely as Caucasians to die of diabetes-related complications (1). Less than half of Latinos with type 2 diabetes are able to achieve the recommended A1C goal of ,7.0% (2). Social Cognitive Theory (SCT) proposes that individuals with high self-efficacy are more likely to change their behavior, make healthy choices, be more positive in selfattribution, and have a better sense of control (3). The American Diabetes Association's (ADA's) Standards of Medical Care in Diabetes (4) recommend that primary care providers offer patient-centered group or individualized diabetes self-management education (DSME) to patients to assist them in achieving the key goals of improved diabetes self-management, clinical outcomes, health status, and quality of life.
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