scholarly journals The Effects of a Culturally Sensitive, Empowerment-Focused, Community-Based Health Promotion Program on Health Outcomes of Adults with Type 2 Diabetes

2014 ◽  
Vol 25 (1) ◽  
pp. 292-307 ◽  
Author(s):  
Carolyn M. Tucker ◽  
Manuel Thomas Lopez ◽  
Kendall Campbell ◽  
Michael Marsiske ◽  
Katherine Daly ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Promotion ◽  
Health Outcomes ◽  
Culturally Sensitive ◽  
Health Promotion Program ◽  
Community Based ◽  
Promotion Program

scholarly journals Feasibility and Effectiveness of a Pilot Health Promotion Program for Adults With Type 2 Diabetes

2010 ◽  
Vol 36 (4) ◽  
pp. 595-602 ◽  
Author(s):  
Patricia M. Kluding ◽  
Rupali Singh ◽  
Jeanine Goetz ◽  
Jason Rucker ◽  
Sarah Bracciano ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Health Promotion ◽  
Health Promotion Program ◽  
Promotion Program

Outcomes of a digitally delivered, culturally-sensitive behaviour change platform for BAME adults with type 2 diabetes: 1 year health and engagement outcomes (Preprint)

2020 ◽  
Author(s):  
Charlotte Summers
Keyword(s):  
Type 2 Diabetes ◽  
Body Weight ◽  
Health Outcomes ◽  
Behavioural Change ◽  
Culturally Sensitive ◽  
Lifestyle Changes ◽  
Haemoglobin A1c ◽  
Central Asian ◽  
Increased Risk

BACKGROUND People from Black, Asian and Minority Ethnic (BAME) groups are known to have an increased risk of developing type 2 diabetes and face greater barriers to accessing healthcare resources compared to their “white British” counterparts. The main mediators of lifestyle behavioural change are gender, generation, geography, genes, God/religion, and gaps in knowledge and economic resources. Dietary and cultural practices of these individuals significantly vary according to gender, generation, geographical origin and religion. Recognition of these factors and implementing culturally sensitive interventions for type 2 diabetes prevention and management is essential in increasing knowledge of healthy eating, engagement in physical activity and improving health outcomes in BAME communities. Few health apps are tailored for BAME populations, and BAME communities are considered hard-to-reach. OBJECTIVE Our objective was to establish whether the Low Carb Program is a viable scalable solution that can be used as an effective tailored type 2 diabetes intervention for BAME communities. We hypothesized that by taking into account cultural sensitivities, providing the platform in native languages and personalising the platform in accordance with known barriers to health disparities including gender, generation, dietary preferences and religion, the app would engage BAME communities and improve type 2 diabetes related health outcomes. METHODS The study used a quasi-experimental research design comprised of an open-label, single-arm, pre-post intervention using a sample of convenience. All 705 adults with type 2 diabetes who had activated their referral to the Low Carb Program as a result of an NHS consultation between September 2018 and March 2019 were followed for a period of 12 months; mean age 54.61 (SD 16.69) years; 58.2% (410/705) women; 45.1% (318/705) white, 28.5% (201/705) Indian/Pakistani/Bangladeshi/Other Central Asian, 10.8% (76/705) Arab, 6.2% (44/705) Mixed/Multiple ethnic groups, 6% (43/705) black, 1.8% (13/705) other, (7/705) 1% Chinese/Japanese/Other East Asian. Mean starting glycated haemoglobin A1c (HbA1c) 7.99% (SD 2.05%); mean body weight 88.96kg (SD 23.25kg). RESULTS Of the 705 study participants, 513 (72.76%) had completed the Low Carb Program at 12 months. There were statistically significant reductions in body weight and HbA1c in white, Indian/Pakistani/Bangladeshi/Other Central Asian, Arabic and black participants with the most significant differences in the Indian/Pakistani/Bangladeshi/Other Central Asian population HbA1c -1.18% (SD 1.49%) and weight 8.03kg (SD 10.65kg). 82.9% of all participants (419/705) of all participants lost at least 5% of their body weight. CONCLUSIONS Offering the culturally tailored Low Carb Program that empowers members to make dietary and lifestyle changes to different BAME groups is an effective and engaging tool in the management of type 2 diabetes. Most importantly, BAME populations in particular people from Indian/Pakistani/Bangladeshi and Arabic groups who achieve better health outcomes than their white counterparts.

scholarly journals What Is the Optimal Duration of Participation in a Community-Based Health Promotion Program for Older Adults?

2008 ◽  
Vol 27 (2) ◽  
pp. 201-214 ◽  
Author(s):  
Sally Sizer Fitts ◽  
Chang Won Won ◽  
Barbara Williams ◽  
Susan J. Snyder ◽  
Michi Yukawa ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Promotion ◽  
Health Promotion Program ◽  
Community Based ◽  
Promotion Program ◽  
Optimal Duration
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