Title

Implementation and Evaluation of a Low Health Literacy and Culturally Sensitive Diabetes Education Program

Publication/Presentation Date

6-25-2013

Abstract

Low health literacy is more prevalent in persons with limited education, members of ethnic minorities, and those who speak English as a second language, and is associated with multiple adverse diabetes-related health outcomes. This study examined the effectiveness of a low health literacy and culturally sensitive diabetes education program for economically and socially disadvantaged adult patients with type 2 diabetes. A pre-post prospective study design was used to examine outcomes over 12 months. Outcome measures included diabetes knowledge, self-efficacy, and self-care, measured using reliable and valid survey tools, and A1C. Over this period of time 277 patients were enrolled in the program, with 106 participants completing survey data. At the completion of the program patients had significant improvements in diabetes knowledge (p < .001), self-efficacy (p < .001), and three domains of self-care including diet (p < .001), foot care (p < .001), and exercise (p < .001). There were no significant improvements in the frequency of blood glucose testing (p = .345). Additionally, A1C values significantly improved 3 months after completing the program (p = .007). In conclusion, a diabetes education program designed to be culturally sensitive and meet the needs of individuals with low health literacy improves short-term outcomes. (© 2013 National Association for Healthcare Quality.)

Volume

36

Issue

6

First Page

16

Last Page

23

ISSN

1945-1474

Disciplines

Community Health and Preventive Medicine | Endocrinology, Diabetes, and Metabolism | Health Services Research | Medical Education | Medical Specialties | Medicine and Health Sciences | Public Health

PubMedID

23799918

Department(s)

Department of Community Health and Health Studies, Patient Care Services / Nursing, LVHN Accountable Care Organization LLC

Document Type

Article