Background: Diabetes was recently declared the fifth leading cause of death in minority groups with minorities constituting 25% of all adult patients with diabetes in the United States (USDHHS, 2012). A 2007–2009 National Survey of people, aged 20 or older, diagnosed with diabetes demonstrated a prevalence rate of 7.1% for non–Hispanic whites, 8.4% for Asian Americans, 12.6% for non–Hispanics black, and 11.8% for Hispanics (CDC, 2010).
Problem: Decreasing avoidable risk factors for diabetes complications through effective culturally competent diabetes education can diminish diabetes related complications. Yet, culturally appropriate approaches for minority groups infrequently have been investigated (ADA, 2009).
Research question: Does Latino pastor delivered diabetes education increase diabetes knowledge in a Latino population?
Research Design and Method: This study used a two–group pretest posttest quasi–experimental design. A convenience sample of Latino patients volunteering from two different churches were recruited, n=40 non-intervention group n=42 intervention group. Outcome measurement included The Diabetes Knowledge Questionnaire (DKQ–24) level measured before and after the intervention. The nonintervention group had standard passive booklet distribution. The intervention group also had standard booklet distribution and active participation of a respected community leader.
Results: One hundred thirteen Latino volunteers completed the diabetes survey. Eighty–two respondents (non–intervention n=40, intervention n=42) were met the criteria of completing the surveys correctly. The independent–samples t–test comparing the mean scores of the non–intervention and intervention groups found a significant difference between the mean scores (t= -37.584; df= 65.547; p <0.00). The mean score of the posttest for the non–intervention group (m= 5.92) was significantly lower than that of the intervention group (m=19.14).
Importance: The significant findings from this study with the pastor as the health educator, underscores the potential force that lives within a community, and the need for health care professionals to engage and utilize the trusted community leaders to disseminate important health information.
|Commitee:||Hanna, Regina, Kernan, William|
|School:||The William Paterson University of New Jersey|
|School Location:||United States -- New Jersey|
|Source:||DAI-B 75/04(E), Dissertation Abstracts International|
|Keywords:||Diabetes, Education, Intervention, Latino community, Latino pastor|
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