IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i19p12814-d935072.html
   My bibliography  Save this article

Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders

Author

Listed:
  • Meng-Jung Wen

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Martha Maurer

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Luke Schwerer

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Nassim Sarkarati

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Ugboaku Maryann Egbujor

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Jenna Nordin

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Sharon D. Williams

    (School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA)

  • Yao Liu

    (School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA)

  • Olayinka O. Shiyanbola

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

Abstract

Background: There is an urgent need for culturally tailored diabetes self-management education to improve health outcomes in African Americans, especially given the disproportionate prevalence of diabetes and medication non-adherence. Stakeholder engagement can guide and enrich the development of these interventions by integrating content directly addressing barriers to African Americans’ adherence with existing community-based diabetes self-management education programs. The aim of this study is to explore stakeholder perspectives on a novel culturally tailored diabetes self-management program for African Americans. Methods: Thirteen semi-structured individual interviews were conducted in a large Midwestern U.S. city with healthcare professionals and organizational leaders serving African American communities and/or providing diabetes education. Transcripts were analyzed using directed content analysis with the Consolidated Framework for Implementation Research and inductive content analysis. Results: Five overarching themes were identified: (1) fulfill needs among stakeholders, (2) creating a supportive and trusting environment to address distrust, (3) building relationships and empowering peers, (4) logistical organization barriers to program implementation and (5) challenges to program acceptance by participants. Conclusion: Stakeholders delineated how the new culturally tailored diabetes self-management program aligned with the needs of African American patients. Perceived challenges and corresponding strategies to address barriers to participation were identified to inform program implementation and sustainability.

Suggested Citation

  • Meng-Jung Wen & Martha Maurer & Luke Schwerer & Nassim Sarkarati & Ugboaku Maryann Egbujor & Jenna Nordin & Sharon D. Williams & Yao Liu & Olayinka O. Shiyanbola, 2022. "Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders," IJERPH, MDPI, vol. 19(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12814-:d:935072
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/19/12814/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/19/12814/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ruqaiijah Yearby, 2018. "Racial Disparities in Health Status and Access to Healthcare: The Continuation of Inequality in the United States Due to Structural Racism," American Journal of Economics and Sociology, Wiley Blackwell, vol. 77(3-4), pages 1113-1152, May.
    2. Tricia K Gatlin & Reimund Serafica & Michael Johnson, 2017. "Systematic review of peer education intervention programmes among individuals with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4212-4222, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Caryn N. Bell & Jordan Kerr & Jessica L. Young, 2019. "Associations between Obesity, Obesogenic Environments, and Structural Racism Vary by County-Level Racial Composition," IJERPH, MDPI, vol. 16(5), pages 1-17, March.
    2. Anuli Njoku & Marcelin Joseph & Rochelle Felix, 2021. "Changing the Narrative: Structural Barriers and Racial and Ethnic Inequities in COVID-19 Vaccination," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    3. Anuli Njoku & Marian Evans, 2022. "Black Women Faculty and Administrators Navigating COVID-19, Social Unrest, and Academia: Challenges and Strategies," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    4. Keith James Topping, 2022. "Peer Education and Peer Counselling for Health and Well-Being: A Review of Reviews," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    5. Dee Warmath & Genevieve Elizabeth O'Connor & Nancy Wong & Casey Newmeyer, 2022. "The role of social psychological factors in vulnerability to financial hardship," Journal of Consumer Affairs, Wiley Blackwell, vol. 56(3), pages 1148-1177, September.
    6. Awad, Mohamed Hassan & Sanchez, Mabel & Abikenari, Matthew A., 2022. "The values work of restorative ventures: The role of founders’ embodied embeddedness with at-risk social groups," Journal of Business Venturing Insights, Elsevier, vol. 18(C).
    7. Sarah E. Roth & Diana J. Govier & Katherine Marsi & Hannah Cohen-Cline, 2022. "Differences in Outpatient Health Care Utilization 12 Months after COVID-19 Infection by Race/Ethnicity and Community Social Vulnerability," IJERPH, MDPI, vol. 19(6), pages 1-15, March.
    8. Anna Price & Siân de Bell & Naomi Shaw & Alison Bethel & Rob Anderson & Jo Thompson Coon, 2022. "What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(3), September.
    9. Kar, Armita & Carrel, Andre L. & Miller, Harvey J. & Le, Huyen T. K., 2021. "Reducing public transit compounds social vulnerabilities during COVID-19," OSF Preprints 5xerm, Center for Open Science.
    10. Paul Delgado & Dulcie Kermah & Paul Archibald & Mopileola T. Adewumi & Caryn N. Bell & Roland J. Thorpe, 2023. "Difference in All-Cause Mortality between Unemployed and Employed Black Men: Analysis Using the National Health and Nutrition Examination Survey (NHANES) III," IJERPH, MDPI, vol. 20(2), pages 1-7, January.
    11. Kaixin Liu & Jiwei Zhou & Junda Wang, 2023. "Can the Black Lives Matter Movement Reduce Racial Disparities? Evidence from Medical Crowdfunding," Papers 2310.14590, arXiv.org, revised Nov 2023.
    12. Mullard, Jordan C.R. & Kawalek, Jessica & Parkin, Amy & Rayner, Clare & Mir, Ghazala & Sivan, Manoj & Greenhalgh, Trisha, 2023. "Towards evidence-based and inclusive models of peer support for long covid: A hermeneutic systematic review," Social Science & Medicine, Elsevier, vol. 320(C).
    13. Simon K. Medcalfe & Catherine P. Slade & Wendy Habegger, 2023. "Religion as a social determinant of women's cancer screening: Evidence from state level data for policy and resource allocation," American Journal of Economics and Sociology, Wiley Blackwell, vol. 82(3), pages 263-279, May.
    14. Zhihong Chen & Chaochuang Zhang & Guanhua Fan, 2020. "Interrelationship between Interpersonal Interaction Intensity and Health Self-Efficacy in People with Diabetes or Prediabetes on Online Diabetes Social Platforms: An In-Depth Survey in China," IJERPH, MDPI, vol. 17(15), pages 1-21, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12814-:d:935072. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.