Pilot Implementation of Adapted-Family Diabetes Self-Management Education Into a Clinical Setting. (June 2020)

• Record Type: Journal Article
• Authors: McElfish, Pearl A.; Long, Christopher R.; Scott, Aaron J.; Hudson, Jonell S.; Haggard-Duff, Lauren; Holland, Angel; Schulz, Thomas K.; Wilmoth, Ralph O.; Selig, James P.
• Is Part Of: Journal of primary care & community health. Volume 11(2020)
• Publication Date: 2020-06
• Subjects: type 2 diabetes -- diabetes self-management education -- family model -- Pacific Islanders -- Marshallese; Primary health care -- Periodicals; Primary health care -- United States -- Periodicals; Community health services -- Periodicals; Community health services -- United States -- Periodicals; 362.12
• DOI: 10.1177/2150132720931289
• Languages: English
• ISSNs: 2150-1319

Abstract

Objectives: Marshallese are a Pacific Islander community that experience a disproportionate rate of type 2 diabetes. The purpose of this study is to evaluate the preliminary effectiveness and feasibility of an Adapted-Family Diabetes Self-Management Education (DSME) intervention among Marshallese adults diagnosed with type 2 diabetes and their family members when delivered in a clinical setting.Methods: Marshallese patients (primary participants) with type 2 diabetes (n = 10) and their family members (n = 10) enrolled in a pilot study deigned to evaluate an Adapted-Family DSME curriculum conducted by community health workers and a certified diabetes educator in a clinical setting. Primary and family participants' health information and biometric data (HbA1c, blood pressure, cholesterol, and body mass index) were collected at preintervention and 12 weeks postintervention.Results: All 10 primary participants and 8 of the family members received all 10 hours of the education intervention. Nine of the 10 primary participants and 8 of the 10 family members completed the pre- and postintervention data collection events. Primary participants demonstrated a mean decrease in HbA1c of 0.7%, from pre- to postintervention, as well as improved blood pressure and cholesterol. Family members demonstrated minor improvements in HbA1c and blood pressure.Conclusions: Results suggest preliminary effectiveness and feasibility of the Adapted-Family DSME in a clinic setting and will inform implementation of a fully powered study.