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    A quality improvement initiative to improve diabetes self-care education for Hispanic older adults using culturally-sensitive, age specific-approach

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    Date Issued
    2018-08
    2018-08
    Author
    Babalola, Olubanke
    Babalola, Olubanke
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    URI
    https://hdl.handle.net/1969.6/87116
    https://hdl.handle.net/1969.6/87116
    Abstract
    Introduction: The underuse of culturally-sensitive, age-specific diabetes education for older-aged Hispanic people likely contributes to deficits in diabetes knowledge, self-management and glycemic control. This quality improvement initiative applied evidence-based, culturally-competent, age-specific education methods to improve processes and health outcomes in a primary care setting. Methodology: A one-group, pre-test/post-test design was used to conduct this project at a large community clinic in Texas. Hispanic adults > 60 years, with T2DM (n=12) received biweekly classes over 3 months, including healthy Hispanic foods, family involvement, a Spanish interpreter using earphone technology, and interactive, bilingual, large-print materials and tools. Paired samples t-tests were used to compare diabetes knowledge, self-management, and A1C levels, pre- and post-education. Results: There was a significant difference in pre- and post-education outcomes: knowledge (t(11)=-7.969, p=.000; d=2.32), self-management (t(11)= -7.930, p=.000; d= 2.43), and A1C levels (t(11)=6.434, p=.000; d=0.78). Conclusion: Culturally-competent, age-specific education can positively impact knowledge, self-management behaviors, and glycemic values in older-aged Hispanic people.
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    This material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.
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