Barriers and Facilitators of Diabetes Self-Management: A Qualitative Study Among Vietnamese Americans

Nguyen, Anna; Edwards, Karethy A.

doi:10.9730/ojccnh.org/v4n2a1

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…A member from the healthcare professional workgroup pointed out that nutrition is often the main focus of self-management among Vietnamese adults with diabetes, and there is relatively little focus on prescribed medication, blood glucose monitoring, risk reduction behaviors, or personal strategies for health promotion, which is consistent with our previous research findings (Nguyen, 2014;Nguyen & Edwards, 2014). CAB members also suggested that the community would benefit from emphasizing the importance of and reason for regularly self-monitoring blood glucose levels, a clear explanation of differences between blood sugars and HbA1c levels, and incorporating family members in this education.…”

Section: Community Input On the Culturally Relevant Dsmes Programsupporting

confidence: 88%

“…All representatives attended the first meeting and the final meeting. The first meeting focused on orienting the CAB members to the study by sharing our previous research findings (Nguyen & Edwards, 2014) and lessons learned regarding health beliefs and diabetes self-management practices among Vietnamese adults (Nguyen & Jones, 2021). Sharing the findings allowed CAB members to have adequate information about the project to permit judgement on the need for community support and participation.…”

Section: Academic-community Team Meetingsmentioning

confidence: 99%

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An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

Nguyen

Jones

O’Neal

et al. 2022

Collaborations: A Journal of Community-Based Research and Practice

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Recognizing and addressing culture-specific differences concerning diabetes selfmanagement education and support (DSMES) programs can potentially increase participation among Vietnamese Americans with type 2 diabetes and improve health outcomes. This paper describes the academic-community engagement process used to seek input from the Vietnamese community of Oklahoma to tailor a DSMES program. The Community Engagement Continuum (CEC) (CDC, 2011) was utilized as a conceptual framework to engage with the Vietnamese community. The academic team assembled a community advisory board (CAB) of stakeholders, who were selected to advise the team on intervention development; elicited community feedback; and integrated recommendations to tailor the DSMES program. Twentythree CAB members participated in a minimum of three community engagement meetings over six months. Meetings were structured to elicit feedback and suggestions to ensure that the tailored program was embedded in Vietnamese cultural practices and accounted for community resources and needs. CAB members identified that education and resources must be provided in the Vietnamese language with special attention to culturally relevant adaptations concerning healthy eating and medication adherence. Application of the CEC framework facilitated the inclusion of Vietnamese community perspectives and beliefs, the identification of potential collaborators, the establishment of trust and relationships, and the development of a culturally relevant DSMES program. This engagement process may serve as a model for other underserved minority populations to develop culturally appropriate health promotion and disease prevention interventions.

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Section: Community Input On the Culturally Relevant Dsmes Programsupporting

confidence: 88%

Section: Academic-community Team Meetingsmentioning

confidence: 99%

An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

Nguyen

Jones

O’Neal

et al. 2022

Collaborations: A Journal of Community-Based Research and Practice

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“…In a qualitative study with an ethnographic design by Nguyen and Edwards (), the aim was to examine the barriers and facilitators of diabetes self‐management in a specific population of Vietnamese Americans in Oklahoma. The results revealed that knowledge of both barriers and facilitators of diabetes management can inform health professionals in the care of their clients.…”

Section: Cultural Competence Theoriesmentioning

confidence: 99%

Integrative Review on Adherence in Haitians With Diabetes

Bivins

2016

Nurs Forum

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In light of a marked increase in the incidence and prevalence of diabetes in the United States in recent years with associated health costs totaling $245 billion for 2012, diabetes has become a major health and fiscal concern. Haitian Americans as a cultural group have unique obstacles to effective treatment and management of diabetes. This paper analyzes recent studies relevant to these challenges in anticipation of new research pertaining to this population. Although medication compliance is generally referred to as adherence, it is a complex concept and key challenge in diabetes care. Accordingly, this paper will further define adherence by describing its relevance in effective treatment and management. It will also analyze key theoretical perspectives in diabetes care, summarize recent research, and make recommendations for effective future research on the impact of diabetes education in Haitian Americans.

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“…Nutrition is often the focus of self-management among US Vietnamese with diabetes, and little focus is placed on medication, blood glucose monitoring, risk reduction behaviors, or personal strategies for health promotion [4][5][6]. Self-management and health behaviors are influenced by cultural beliefs, practices, and availability of resources [7].…”

Section: Introductionmentioning

confidence: 99%

“…Nguyen and Edwards [6] reported that linguistic and cultural differences as well as transportation issues are the main barriers to participating in existing DSMES programs among study participants. Many US Vietnamese living with T2D receive information from family, friends, and others diagnosed with diabetes for knowledge and decision-making around self-care [6]. Without formal DSMES, knowledge gained from informal education may negatively influence self-care behaviors.…”

Section: Introductionmentioning

confidence: 99%

mHealth Intervention for Vietnamese Living With Diabetes: Protocol for a Stepped Wedge Pilot Study

Nguyen,

Nagykaldi,

Bui

et al. 2023

JMIR Res Protoc

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Background Evidence indicates participation in a diabetes self-management education and support program improves self-care behaviors and hemoglobin A1c. Language and cultural differences may be barriers to program participation resulting in ineffective self-management, but these factors can be addressed with appropriate interventions. Given the high health care costs associated with diabetes complications, we developed a multicomponent, culturally tailored Self-Management Mobile Health Intervention for US Vietnamese With Diabetes (SMart-D). Objective This study aims to evaluate the SMart-D intervention’s feasibility, acceptability, and effectiveness with intentions to scale up the intervention in the future. This mixed methods study incorporates the Reach, Effectiveness, Adoption, Implementation, Maintenance framework to evaluate the intervention. Methods This stepped wedge randomized controlled pilot study will be conducted over 2 years in collaboration with primary care clinics. Eligible participants are patients with type 2 diabetes who are receiving health care from participating clinics. Clinics will be randomly assigned to an implementation date and will begin with patients enrolling in the control period while receiving standard care, then cross over to the intervention period where patients receive standard care plus the SMart-D intervention for over 12 weeks. Focus groups or interviews will be conducted with clinicians and patients after study completion. Qualitative data will be analyzed using NVivo. Outcomes on self-care behavior changes will be measured with the Summary of Diabetes Self-Care Activities scale and clinical changes will be measured using laboratory tests. A generalized linear mixed-effect model will be used to compute time effect, clustering effect, and the interaction of the control and intervention periods using SAS (version 9.4; SAS Institute). Results We hypothesize that (1) at least 50% (n=5) of eligible clinics and 50% (n=40) of eligible patients who are invited will participate, and at least 70% (n=56) of patients will complete the program, and (2) patients who receive the intervention will have improved self-care behaviors and clinical test results with at least 75% (n=60) of the patients maintaining improved outcomes at follow-up visits compared with baseline, and participants will verbalize that the intervention is feasible and acceptable. As of August 2023, we enrolled 10 clinics and 60 patients. Baseline data results will be available by the end of 2023 and outcome data will be published in 2025. Conclusions This is the first Vietnamese diabetes self-management education and support intervention that leverages mobile health technology to address the barriers of language and culture differences through collaboration with primary care clinics. This study will provide a better understanding of the implementation process, demonstrate the potential effectiveness of the intervention, accelerate the pace of moving evidence-based interventions to practice among the US Vietnamese population, and potentially provide a replicable implementation model that can be culturally adapted to other non-English speaking ethnic minorities. International Registered Report Identifier (IRRID) DERR1-10.2196/48585

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Barriers and Facilitators of Diabetes Self-Management: A Qualitative Study Among Vietnamese Americans

Cited by 5 publications

References 12 publications

An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

An Academic-Community Engagement: A Roadmap for Developing a Culturally Relevant Diabetes Self-Management Program among Vietnamese Americans

Integrative Review on Adherence in Haitians With Diabetes

mHealth Intervention for Vietnamese Living With Diabetes: Protocol for a Stepped Wedge Pilot Study

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