Aims. This feasibility study evaluated the impact of a culturally consistent diabetes educational program, led by a Latino pastor, on Latino community diabetes knowledge levels. Method. Latino adults were recruited from two churches serving Latino populations, one identified as intervention, the other as nonintervention. Both churches received the American Diabetes Association’s booklets on diabetes education, “Four Steps to Control Your Diabetes for Life.” The intervention group also received weekly reviews of the booklet’s information from the church pastor, who was educated about diabetes by a Latino family nurse practitioner. Pre- and postintervention levels of diabetes knowledge were measured using the Diabetes Knowledge Questionnaire. Results. Mean changes in the Diabetes Knowledge Questionnaire (DKQ-24) survey from pretest to posttest indicated a significant increase in knowledge in both groups. Only the grades for the participants from the pastor-led group, however, moved from failure in knowledge to high levels of passing. One hundred percent of intervention group participants reported having read the literature. Conclusions. This pilot study supports the feasibility of a local Latino pastor, as a culturally consistent diabetes educator, to increase Latino parishioner’s knowledge of diabetes.
BrownS.BeckerH.GarciaA.BartonS.HanisC. (2002). Measuring health beliefs in Spanish-speaking Mexican Americans with type 2 diabetes: Adapting an existing instrument. Research in Nursing & Health, 25, 145-158.
8.
BrownS.GarciaA.KouzekananiK.HanisC. (2002). Culturally competent diabetes self-management education for Mexican Americans. Diabetes Care, 25, 259-268.
9.
CaballeroA. (2007). Type 2 diabetes in the Hispanic or Latino population: Challenges and opportunities. Current Opinion in Endocrinology, Diabetes, and Obesity, 14, 151-157.
10.
CefaluW. T.GoldenS. H. (2015). Innovative approaches to understanding and addressing health disparities in diabetes care and research. Diabetes Care, 38, 186-188. doi:10.2337/dc14-2748.
ChiltonL.HuJ.WallaceD. (2006). Health-promoting lifestyle and diabetes knowledge in Hispanic American adults. Home Health Care Management & Practice18, 378-385.
13.
FernandezA.SchillingerD.WartonE.AdlerN.MoffetH.SchenkerY.KarterA. (2011). Language barriers, physician-patient language concordance, and glycemic control among insured Latinos with diabetes: The Diabetes Study of Northern California (DISTANCE). Journal of General Internal Medicine, 26, 170-176. doi:10.1007/s11606-010-1507-6
14.
FestingerL. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.
15.
GarciaA.KouzekananiK.VillagomezE.HanisC.BrownS. (2001). The Starr county diabetes education study: Development of the Spanish-language diabetes knowledge questionnaire. Diabetes Care, 24, 16-21.
HeiderF. (1958). The psychology of interpersonal relations. New York, NY: Wiley.
18.
HenrichJ.BroeschJ. (2011). On the nature of cultural transmission networks: Evidence from Fijian villages for adaptive learning biases. Philosophical Transactions of the Royal Society B: Biological Sciences, 366, 1139-1148. doi:10.1098/rstb.2010.0323
19.
Institute of Medicine. (2006). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
20.
LongJ.SowellR.BairanA.HoltzC.CurtisA.ForgartyK. (2012). Exploration of commonalities and variations in health related beliefs across four Latino subgroups using focus group methodology: Implications in care for Latinos with type 2 diabetes. Journal of Cultural Diversity, 19, 133-142.
21.
LujanJ. (2008). Testing the diabetes knowledge and health beliefs of Mexican Americans on the Texas-Mexico border. Hispanic Health Care International, 6(1), 9-20.
22.
McKenzie-MohrD.SchultzP. W. (2014). Choosing effective behavior change tools. Social Marketing Quarterly, 20(1),35-46.
Pares-AvilaJ.SobralskeM.KatzJ. (2011). No Comprendo: Practice consideration when caring or Latinos with limited English proficiency in the United States Health Care System. Hispanic Health Care International, 9, 159-167.
26.
PetrovaP.CialdiniR.SillsS. (2007). Consistency based compliance across cultures. Journal of Experimental Social Psychology, 43, 104-111.
27.
PrezioE. A.ChengD.BalasubramanianB. A.ShuvalK.KendzorD. E.CulicaD. (2013). Community Diabetes Education (CoDE) for uninsured Mexican Americans: A randomized controlled trial of a culturally tailored diabetes education and management program led by a community health worker. Diabetes Research and Clinical Practice, 100(1), 19-28.
28.
PurnellL.PaulankaB. (2005). Guide to culturally competent care. Philadelphia, PA: F. A. Davis.
29.
RuizJ.GallardoM.Delgado-RomeroE. (2013). Latinas/os and immigration reform: A commentary to “Crossroads: The psychology of immigration in the new century”: The report of the APA Presidential Task Force on Immigration. Journal of Latina/o Psychology, 1, 149-154.
30.
SchyveP. (2007). Language differences as a barrier to quality and safety in health care: The Joint Commission perspective. Journal of General Internal Medicine, 22(Suppl. 2), 360-361.
31.
Shepherd-BaniganM.HohlS. D.VaughanC.IbarraG.CarossoE.ThompsonB. (2014). “The Promotora Explained Everything”: Participant experiences during a household-level diabetes education program. Diabetes Educator, 40, 507-515.
32.
U.S. Department of Health and Human Services. (2012). Surgeon General’s call to action to prevent obesity. Rockville, MD: Author.
33.
VincentD. (2009). Culturally tailored education to promote lifestyle changes in Mexican Americans with type 2 diabetes. Journal of the American Academy of Nurse Practitioners, 21, 520-527.
34.
WhittemoreR. (2007). Culturally competent interventions for Hispanic adults with type 2 diabetes: A systematic review. Journal of Transcultural Nursing, 18, 157-166.
