This Article Free Full Text Free Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (9) Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Vincent, D. Articles by Sanchez, J. Search for Related Content PubMed PubMed Citation Articles by Vincent, D. Articles by Sanchez, J. Pubmed/NCBI databases Medline Plus Health Information Diabetes Social Bookmarking                         What's this?

Using Focus Groups to Develop a Culturally Competent Diabetes Self-management Program for Mexican Americans

From the University of Arizona College of Nursing, Tucson (Dr Vincent); the University of Colorado Health Sciences Center, Denver (Dr Clark); and the Community Health Network, Denver, Colorado (Ms Sanchez). Ms Zimmer is an independent consultant.

Correspondence to Deborah Vincent, PhD, RN, FAANP, University of Arizona College of Nursing, 1305 North Martin, PO Box 210203, Tucson, AZ 85721-0203 (dvincent{at}nursing.arizona.edu).

Purpose

The purpose of this study was to describe factors that facilitate or hinder diabetes self-management and elicit participants' preferences and recommendations about the essential components of a culturally competent diabetes self-management program.

Methods

Latino patients with type 2 diabetes and their family caregivers were interviewed in focus groups. Four focus groups consisted of patients, and 2 groups consisted of family caregivers for a total of 40 participants. Participants were assigned to groups based on break characteristics of gender and preferred language.

Results

"Being in the dark" emerged as an important concern, and patient respondents wanted timely access to information that they deemed understandable about how to manage their diabetes. Family members' support and understanding were crucial in maintaining lifestyle changes. Patient and family caregiver participants wanted a self-management program to incorporate information on how to modify traditional foods, home remedies, and stress management. Preferences for information delivery included group didactic and interactive sessions, written information, and videotapes. Higher tech-nology strategies using computers were not seen as useful.

Conclusions

Culturally competent diabetes self-management for Latinos should incorporate the family and include techniques for stress management as well as diet modification. Information delivery should include a variety of techniques.

The Diabetes Educator, Vol. 32, No. 1, 89-97 (2006)
DOI: 10.1177/0145721705284372


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				L. Clark, D. Vincent, L. Zimmer, and J. Sanchez Cultural Values and Political Economic Contexts of Diabetes Among Low-Income Mexican Americans J Transcult Nurs, October 1, 2009; 20(4): 382 - 394. [Abstract] [PDF]

				K. B. Early, J. A. Shultz, and C. Corbett Assessing Diabetes Dietary Goals and Self-Management Based on In-Depth Interviews With Latino and Caucasian Clients With Type 2 Diabetes J Transcult Nurs, October 1, 2009; 20(4): 371 - 381. [Abstract] [PDF]

				D. Vincent, A. Pasvogel, and L. Barrera A Feasibility Study of a Culturally Tailored Diabetes Intervention for Mexican Americans Biol Res Nurs, October 1, 2007; 9(2): 130 - 141. [Abstract] [PDF]

				F. Griffiths, N. Anto, E. Chow, U. Manazar, P. Van Royen, and H. Bastiaens Understanding the diversity and dynamics of living with diabetes: a feasibility study focusing on the case Chronic Illness, March 1, 2007; 3(1): 29 - 45. [Abstract] [PDF]