HomeResearchA Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

A Family-Based, Culturally Tailored Diabetes Intervention for Hispanics and Their Family Members

  1. Jie Hu, PhD, RN, FAAN
  2. Karen A. Amirehsani, PhD, FNP-BC
  3. Debra C. Wallace, PhD, RN, FAAN
  4. Thomas P. McCoy, PhD, PStat
  5. Zulema Silva, MA
  1. The Ohio State University, Columbus, Ohio (Dr Hu)
  2. The University of North Carolina at Greensboro North Carolina, Greensboro, North Carolina (Dr Amirehsani, Dr Wallace, Dr McCoy, Ms Silva)
  1. Jie Hu, PhD, RN, FAAN, The Ohio State University, College of Nursing, 1585 Neil Ave. Columbus OH 43210, USA (hu.1348{at}osu.edu)

Abstract

Purpose The purpose of this study was to test efficacy of a family-based, culturally tailored intervention for Hispanics with type 2 diabetes and their family members.

Methods Hispanic patients with type 2 diabetes and their family members recruited from community clinics and ethnic churches were assigned to groups (N = 186). The intervention group received an 8-week culturally tailored diabetes educational program delivered in Spanish while the attention control group received 8 weekly sessions on general health information and 2 sessions on diabetes after completion of the study. Data were collected at baseline, after intervention, and at 1- and 6-month follow-ups for both patients and families. Comparisons of change over time were performed using growth curve analyses after propensity score adjustment.

Results Intervention patients improved in diabetes knowledge and diabetes self-efficacy over time (but did not sustain at 6-month follow-up). A1C was lower at 1-month follow-up. Family members had improvements in diabetes knowledge and physical health–related quality of life.

Conclusions Including families in the interventions may improve glycemic control, diabetes knowledge, self-efficacy, and physical health–related quality of life. However, strategies for sustaining improvements are needed.

  • © 2016 The Author(s)

Original Article

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