A Culturally Appropriate Self-Management Program for Hispanic Adults With Type 2 Diabetes and Low Health Literacy Skills

Brunk, Debra R; Taylor, Ann Gill; Clark, Myra L.; Williams, Ishan C.; Cox, Daniel J.

doi:10.1177/1043659615613418

Cited by 17 publications

(34 citation statements)

References 26 publications

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“…Patients indicated that they first needed to accept their situation. After acceptance they realized that they needed to take charge of their own health and care process [22,25,31,46,61,64,66,72,77,80,84,102].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, patients with LHL criticized that the content covered in written medical information leaflets or handbooks is often repetitive and rarely novel [115]. This results in patients with LHL describing limited knowledge, experience or expectation prior to the diagnosis that affected them [64]. The majority of participants expressed a need for comprehensive information to be provided, as they had false beliefs of their condition, e.g., equating a cancer diagnosis to a ‘death sentence’ [115].…”

Section: Resultsmentioning

confidence: 99%

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Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Jager

Zeeuw

Tullius

et al. 2019

IJERPH

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Patient-centred care is tailored to the needs of patients and is necessary for better health outcomes, especially for individuals with limited health literacy (LHL). However, its implementation remains challenging. The key to effectively address patient-centred care is to include perspectives of patients with LHL within the curricula of (future) healthcare providers (HCP). This systematic review aimed to explore and synthesize evidence on the needs, experiences and preferences of patients with LHL and to inform an existing educational framework. We searched three databases: PsychInfo, Medline and Cinahl, and extracted 798 articles. One-hundred and three articles met the inclusion criteria. After data extraction and thematic synthesis, key themes were identified. Patients with LHL and chronic diseases encounter multiple problems in the care process, which are often related to a lack of person-centeredness. Patient perspectives were categorized into four key themes: (1) Support system; (2) Patient self-management; (3) Capacities of HCPs; (4) Barriers in healthcare systems. “Cultural sensitivity” and “eHealth” were identified as recurring themes. A set of learning outcomes for (future) HCPs was developed based on our findings. The perspectives of patients with LHL provided valuable input for a comprehensive and person-centred educational framework that can enhance the relevance and quality of education for (future) HCPs, and contribute to better person-centred care for patients with LHL.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Jager

Zeeuw

Tullius

et al. 2019

IJERPH

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“…Especially for diabetic patients who were taking antidepressants, the percentage of low HL was as high as 72% (12). Fortunately, HL among diabetic patients can be improved through instruction (13,14) and improving their communication with others (15) or knowledge of DM (16).…”

Section: ' Introductionmentioning

confidence: 99%

Health literacy and depression in women with type 2 diabetes mellitus

Hsu

Su²,

Kuo

2020

Clinics

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The prevalence of diabetes mellitus has recently increased in Taiwan, and depression is common among these patients. Moreover, a lack of health literacy may lead to depression. In this study, we explored the correlation between health literacy and depression in diabetic women. METHODS: In this cross-sectional study, 152 women with type 2 diabetes mellitus were recruited from the outpatient clinic of a regional teaching hospital in Taiwan. The data were collected through medical records and a self-reported structured questionnaire, which included items on basic attributes, self-rated health status, the Center for Epidemiologic Studies Depression Scale (CES-D), and Chinese Health Literacy Scale for Diabetes (CHLSD). The results were analyzed using descriptive statistical analyses, bivariate correlation tests, and linear regression analyses. RESULTS: One hundred thirty-five valid questionnaires were obtained. Approximately 20% of the participants had a higher tendency toward depression as per their CES-D score, and the CHLSD results showed that 13.33% had poor health literacy. There was a negative correlation between health literacy and depressive tendencies after adjusting for self-rated health status, economic satisfaction status, employment status, and education level using multivariate linear regression analyses. For each 1-point rise in the CHLSD score, the CES-D score decreased by 0.17 points (z= À 2.05, p=0.042). CONCLUSIONS: A negative correlation was identified between health literacy and depression. Self-rated health status, economic satisfaction, employment status, and higher education level are factors that also affect depressive tendency among diabetic women.

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“…The first author conducted the initial analysis and synthesis, and the second author confirmed the results, which are presented in Table 2. Table 1 summarizes characteristics of the seven included studies (Amirehsani et al, 2019;Brunk et al, 2017;Islam et al, 2013;Maglalang et al, 2017;Okoro et al, 2018;Vincent, 2009;Whitney et al, 2017). All studies were published between 2009 and 2019, five since 2017.…”

Section: Data Extraction and Synthesismentioning

confidence: 99%

“…Four studies' data were collected in participants' original language (such as Spanish or Bengali) by bilingual researcher or moderators. These data were then translated in English for analysis (Amirehsani et al, 2019;Brunk et al, 2017;Islam et al, 2013;Vincent, 2009). Other studies, whose participants were African Americans and Filipino Americans, collected data in English (Maglalang et al, 2017;Okoro et al, 2018;Whitney et al, 2017).…”

Section: Study Characteristicsmentioning

confidence: 99%

Experience of Culturally-Tailored Diabetes Interventions for Ethnic Minorities: A Qualitative Systematic Review

Joo

Liu

2019

Clin Nurs Res

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This qualitative systematic review synthesizes recent qualitative studies of culturally tailored interventions to better understand the experiences that individuals who are members of ethnic minorities have when undergoing type 2 diabetes treatment in the United States. Such interventions have been shown to be effective among ethnic minority populations; however, no qualitative synthesis has reported on recent findings from studies of these interventions. This systematic review identified seven relevant qualitative studies from five electronic databases—CINAHL, PsycINFO, PubMed, Ovid, and Web of Science—published from 2009 to 2019, and used a thematic synthesis review methodology. Methodological rigor was assessed for an appraisal of study quality. Five themes were identified as experiences of culturally tailored diabetes interventions: culturally appropriate healthy lifestyle behaviors, knowledge about diabetes care, emotional supports, access to the healthcare system, and family involvement. The findings of this review can be utilized as resources for improving diabetes care for ethnic minorities.

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A Culturally Appropriate Self-Management Program for Hispanic Adults With Type 2 Diabetes and Low Health Literacy Skills

Abstract: The findings may help in further development of tools and strategies for improved T2D self-management in the study population.

Cited by 17 publications

References 26 publications

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Patient Perspectives to Inform a Health Literacy Educational Program: A Systematic Review and Thematic Synthesis of Qualitative Studies

Health literacy and depression in women with type 2 diabetes mellitus

Experience of Culturally-Tailored Diabetes Interventions for Ethnic Minorities: A Qualitative Systematic Review

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