Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus

Attridge, Madeleine; Creamer, John; Ramsden, Michael F.; Cannings‐John, Rebecca; Hawthorne, Kamila

doi:10.1002/14651858.cd006424.pub3

Cited by 146 publications

(175 citation statements)

References 176 publications

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“…Managing chronic diseases in a diverse population necessitates culturally appropriate education and care, 9 which highlights diabetes among Muslims during Ramadan as well as fasting practices in other religions. 17 Fortunately, given the wealth of information and studies from other countries, there is a foundation to create quality improvement projects focused on education, knowledge, and awareness of both health providers and patients regarding diabetes management during Ramadan in the United States.…”

Section: Discussionmentioning

confidence: 99%

“…7,8 Therefore, many providers are not aware of the specific issues regarding diabetes care during Ramadan; nor do they properly counsel or educate their patients with diabetes who fast. This further emphasizes the need for culturally appropriate health education for different ethnic groups, 9 who may fast for religious purposes. Given the absence of studies specifically in the United States, the purpose of this pilot study was to better understand provider practices and knowledge of diabetes care during Ramadan for Muslim patients in an inner-city primary care clinic in New York City to identify areas to educate and improve provider awareness.…”

Section: Introductionmentioning

confidence: 99%

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Primary Care Providers’ Knowledge and Practices of Diabetes Management During Ramadan

Ali

Adams

Hossain

et al. 2015

J Prim Care Community Health

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There are an estimated 3.5 million Muslims in North America. During the holy month of Ramadan, healthy adult Muslims are to fast from predawn to after sunset. While there are exemptions for older and sick adults, many adults with diabetes fast during Ramadan. However, there are risks associated with fasting and specific management considerations for patients with diabetes. We evaluated provider practices and knowledge regarding the management of patients with diabetes who fast during Ramadan. A 15-question quality improvement survey based on a literature review and the American Diabetes Association guidelines was developed and offered to providers at the outpatient primary care and geriatric clinics at an inner-city hospital in New York City. Forty-five providers completed the survey. Most respondents did not ask their Muslim patients with diabetes if they were fasting during the previous Ramadan. Knowledge of fasting practices during Ramadan was variable, and most felt uncomfortable managing patients with diabetes during Ramadan. There is room for improvement in educating providers about specific cultural and medical issues regarding fasting for patients with diabetes during Ramadan.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Primary Care Providers’ Knowledge and Practices of Diabetes Management During Ramadan

Ali

Adams

Hossain

et al. 2015

J Prim Care Community Health

View full text Add to dashboard Cite

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“…13 Culturally appropriate education is effective in both short-and medium-term performance measures (HbA 1c reduced by 0.4% and 0.5%, respectively). 14,15 Neither LDL nor HDL was lowered in these interventions.…”

Section: Discussionmentioning

confidence: 83%

Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia

Crawford

Wiltz

2015

The Journal of the American Board of Family Medicine

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“…A 2014 Cochrane review showed that glycemic control and knowledge of diabetes are improved when culturally appropriate health education is provided to people with diabetes who belong to ethnic minority groups. 39 Peer health coaches might be providing more culturally appropriate health education in ethnic minority populations, particularly Latino ones.…”

Section: Discussionmentioning

confidence: 99%

Peer Support Interventions for Adults With Diabetes: A Meta-Analysis of Hemoglobin A1c Outcomes

Patil

Ruppar

Koopman

et al. 2016

The Annals of Family Medicine

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PURPOSE Peer support intervention trials have shown varying effects on glycemic control. We aimed to estimate the effect of peer support interventions delivered by people affected by diabetes (those with the disease or a caregiver) on hemoglobin A 1c (HbA 1c ) levels in adults. METHODSWe searched multiple databases from 1960 to November 2015, including Ovid MEDLINE, the Cochrane Central Register of Controlled Trials, CINAHL, and Scopus. We included randomized controlled trials (RCTs) of adults with diabetes receiving peer support interventions compared with otherwise similar care. Seventeen of 205 retrieved studies were eligible for inclusion. Quality was assessed with the Cochrane risk of bias tool. We calculated the standardized mean difference (SMD) of change in HbA 1c level from baseline between groups using a random effects model. Subgroup analyses were predefined.RESULTS Seventeen studies (3 cluster RCTs, 14 RCTs) with 4,715 participants showed an improvement in pooled HbA 1c level with an SMD of 0.121 (95% CI, 0.026-0.217; P = .01; I 2 = 60.66%) in the peer support intervention group compared with the control group; this difference translated to an improvement in HbA 1c level of 0.24% (95% CI, 0.05%-0.43%). Peer support interventions showed an HbA 1c improvement of 0.48% (95% CI, 0.25%-0.70%; P <.001; I 2 = 17.12%) in the subset of studies with predominantly Hispanic participants and 0.53% (95% CI, 0.32%-0.73%; P <.001; I 2 = 9.24%) in the subset of studies with predominantly minority participants; both were clinically relevant. In sensitivity analysis excluding cluster RCTs, the overall effect size changed little. CONCLUSIONSPeer support interventions for diabetes overall achieved a statistically significant but minor improvement in HbA 1c levels. These interventions may, however, be particularly effective in improving glycemic control for people from minority groups, especially those of Hispanic ethnicity. Ann Fam Med 2016;14:540-551. doi: 10.1370/afm.1982. INTRODUCTIONT he global burden of diabetes is expected to increase from 381.8 million people affected in 2013 to an estimated 591.9 million by 2035.1 Despite increasing evidence of benefits from self-management education, only 5% of Medicare-insured and 7% of privately insured people with diabetes receive this intervention within 1 year of diagnosis. [2][3][4] Diabetes self-management education improves hemoglobin A 1c (HbA 1c ) levels, and longer duration of education further lowers levels; however, the benefits decline 1 to 3 months after education ends. 5 The World Health Organization (WHO) has stated that peer support appears to be a promising approach to improving and sustaining diabetes self-management behaviors. 6 Randomized controlled trials (RCTs) using peer support interventions delivered by people affected by diabetes have shown varying results on glycemic control, however. A 2012 narrative review examined the effect of peer support interventions on diabetes outcomes, but several additional studies with these interventions have b...

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Culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus

Cited by 146 publications

References 176 publications

Primary Care Providers’ Knowledge and Practices of Diabetes Management During Ramadan

Primary Care Providers’ Knowledge and Practices of Diabetes Management During Ramadan

Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia

Peer Support Interventions for Adults With Diabetes: A Meta-Analysis of Hemoglobin A1c Outcomes

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