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

IF 2.9 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Patient Education and Counseling Pub 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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引用次数: 0

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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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.