Prevention and Management of Type 2 Diabetes among African Immigrants in the United States: Using a Culturally Tailored Educational Intervention with a Focus on Dietary Plan, Physical Activity, and Stress Management
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Doctor of Nursing Practice
Family Nurse Practioner
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type 2 diabetes mellitus and disease management, dietary practices and African immigrants, physical activity and African immigrants, stress management and African immigrants, culturally tailored diabetes education and African immigrants, cultural beliefs, knowledge deficit, education
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Purpose: Close examination of epidemiological data revealed burdens of type 2 diabetes and complications particular to ethnic minorities in the United States including African immigrants. Literature reviews show poor dietary plan, physical inactivity, and poor stress management exist among African immigrants; contributing factors to these behaviors are cultural beliefs, barriers to physical activity, knowledge deficit in stress management, healthy food choices and portioning. This DNP project focused on implementing a culturally tailored diabetes education with the objective to increase participants’ knowledge on dietary planning, physical activity, and stress management. Greater patient knowledge may lead to better diabetes management among African immigrants in the U.S.
Method: Three-sessions of culturally tailored diabetes education were delivered to African immigrant adults (N=9) with Type 2 diabetes in Rhode Island. Behavioral change education was based on three of the American Association of Diabetes (ADA) self-care behaviors: healthy eating, physical activity, and stress management. Each session lasted approximately 2.5 hours. Demographic information of the participants was obtained using a questionnaire. A pre/post-test was administered to measure participants’ knowledge base before and after education intervention. Participants completed satisfactory survey questionnaires at the end of the program.
Results: All of the participants had significant improvements in the knowledge areas of dietary plan, physical activity, and stress management. One hundred percent (n=9) of the participants reported great satisfaction of the program.
Conclusion: The education program may serve as a model for up-to date culturally tailored diabetes education and information for African immigrants, and other ethnic minorities.