Asian-Americans With Diabetes: Assessing the Intervention
PICOT question: How do Asian-Americans with newly diagnosed type 2 diabetes perceive barriers to implementing dietary and lifestyles changes to reduce A1C levels in the first 3 months after diagnosis?
Evaluation plan
Although Asian cuisines have traditionally been regarded as healthier than Westernized diets because of their high fiber and vegetable content, relatively low levels of sugar, and their emphasis on rice vs. highly sweetened starchy grains, this has been changing in recent years as Asian-Americans adapt increasingly Westernized eating habits (McNeely 2004). In fact, "Asian-Americans are almost twice as likely to develop diabetes as the general population in the United States, and of those who develop the disease, more than 95% are diagnosed with type 2 diabetes," which is strongly correlated with obesity and poor exercise and dietary habits ("Asian-Americans with Diabetes," 2015). Asian-Americans are also more likely to develop type 2 diabetes at relatively lower BMIs than other demographic groups. "At a lower BMI, Asians tend to accumulate more body fat compared to Caucasians" ("Asian-Americans with Diabetes," 2015). Because a healthy body size may be lower on average for Asians this often causes doctors to ignore potential red flags such as elevated weight until it is too late (McNeely 2004). Simply using BMI indexes in a generic fashion for all patient population groups is not ideal.
Methods
The purpose of this study will be to assess the effectiveness...
Area of Interest Asian Americans have the highest proportion of undiagnosed diabetes than any other ethnic group in the United States, by far. According to the CDC (2017), one in every two Asian Americans has diabetes but has never been diagnosed, which is twice the national average. Research even suggests that Asian-Americans are a “greater risk” than other population groups for developing diabetes across the lifetime (Sun, 2015). More Asians have
PICOT question: In Asian Americans with type 2 diabetes (P), does a culturally tailored diabetes education program, including patient-specific dietary and lifestyle modifications, (I) reduce A1C levels (O) after 2 months (T) versus a control group of Asian Americans? Introduction with a problem statement Type 2 diabetes is a prevalent and growing problem throughout the modern world. The United States especially has seen an increase in type 2 diabetes cases in non-white
The scourge of type II diabetes is impossible to miss when looking at the societies of countries like the United States. More commonly known as adult-onset diabetes, the disorder is commonly manifested upon adulthood (if not sooner) when the body of the patient is unable to regulate insulin and blood sugar like could and should normally be happening within said patient. Asian-Americans are commonly immune from the normal trends and
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Epidemiology Paper Part Three: Implementation and Evaluation - Asian Americans with type 2 diabetes 1. Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed. Efficient initiatives in the areas of health promotion, chronic illness management, and public health decrease disease risks and facilitate the maintenance and improvement of
The role of descriptive epidemiology in nursing science is very important as it helps to provide information that can be used by nurses to prevent the spread of disease, develop effective interventions, and engage in further research. A descriptive epidemiologic study is one that examines a specific population and identifies the amount and distribution of health and design within that population (Giroux, 2015). Descriptive epidemiology looks at variables, such as
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