Patient and family engagement in culturally-tailored diabetes self-management education in a Hispanic community

IF 3.1 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Patient Education and Counseling Pub Date : 2025-05-01 Epub Date: 2025-01-17 DOI:10.1016/j.pec.2025.108669

Denise J. Deverts , Margaret F. Zupa , Edith C. Kieffer , Stephanie Gonzalez , Claudia Guajardo , Felix Valbuena , Gretchen A. Piatt , Jonathan G. Yabes , Christina Lalama , Michele Heisler , Ann-Marie Rosland

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Abstract

Objectives

Diabetes self-management education (DSME) is effective in improving outcomes among adults with diabetes (AWD); but engagement in DSME has been lower among Hispanic AWD. We examined factors predicting engagement of Hispanic AWD in culturally tailored DSME that included a family/friend ‘support person’.

Methods

222 predominantly Hispanic AWD enrolled in DSME with a support person (SP), half of the AWD-SP pairs participated in pair-focused (‘FAM-ACT’) DSME and the others in patient-focused DSME. Enrollment survey and health record-based participant characteristics were compared to program attendance data.

Results

On average, AWD completed 3.8 of 6 and SPs 2.6 of 6 sessions. Engaged AWD (attended ≥4/6 DSME sessions) were more likely to live apart from their SP, have HbA1c ≥ 9 % (11.8 mmol/L), and currently prioritize diabetes among other competing demands. Engaged AWD in FAM-ACT were more likely to have SPs who also met engagement criteria (attended ≥3 DSME sessions), and SPs with pre-diabetes and high ‘patient activation’.

Conclusions

Hispanic AWD who co-attended with family supporters, had higher glycemic levels, and ability to prioritize diabetes management were more engaged in culturally-tailored DSME.

Practice implications

Engaging family supporters and focusing on those with current health and personal motivation may increase Hispanic adult engagement in DSME.

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西班牙裔社区糖尿病自我管理教育的患者和家庭参与

目的：糖尿病自我管理教育（DSME）可有效改善成人糖尿病患者（AWD）的预后；但西班牙裔AWD的DSME参与度较低。我们研究了预测西班牙裔AWD参与文化定制的DSME的因素，其中包括家庭/朋友“支持人员”。方法：222名主要是西班牙裔的AWD参加了支持人员（SP）的DSME，其中一半的AWD-SP对参加了以配对为中心（'FAM-ACT'）的DSME，其余的则参加了以患者为中心的DSME。将登记调查和基于健康记录的参与者特征与项目出勤数据进行比较。结果：平均而言，AWD完成了6次治疗中的3.8次，SPs完成了6次治疗中的2.6次。参与的AWD（参加≥4/6次DSME会议）更有可能与他们的SP分开生活，HbA1c≥ 9 %(11.8 mmol/L)，并且目前在其他竞争需求中优先考虑糖尿病。在FAM-ACT中参与AWD的SPs更有可能满足参与标准（参加≥3次DSME会议），以及糖尿病前期和高“患者激活”的SPs。结论：西班牙裔AWD与家庭支持者共同参加，血糖水平较高，有能力优先考虑糖尿病管理，更参与文化定制的DSME。实践意义：吸引家庭支持者并关注那些目前健康和个人动机的人可能会增加西班牙裔成年人对DSME的参与。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient Education and Counseling 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.60

自引率

11.40%

发文量

384

审稿时长

46 days

期刊介绍： Patient Education and Counseling is an interdisciplinary, international journal for patient education and health promotion researchers, managers and clinicians. The journal seeks to explore and elucidate the educational, counseling and communication models in health care. Its aim is to provide a forum for fundamental as well as applied research, and to promote the study of organizational issues involved with the delivery of patient education, counseling, health promotion services and training models in improving communication between providers and patients.