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 people. Asian Americans are a notable segment of the American population that develop type 2 diabetes. Intervention strategies aimed at reducing certain markers like HbA1C levels may see improvement if culturally tailored methods are implemented. This essay is aimed at evaluating the effectiveness of a culturally tailored diabetic educational intervention to reduce HbA1C levels among Asian-Americans with type 2 diabetes.
Brief synthesized review.
Racial and ethnic minorities are experiencing a rise in type 2 diabetes cases. “Diabetes is a growing health epidemic in the United States. Racial and ethnic minorities are disproportionately affected by diabetes and associated comorbidities and complications” (Fayfman & Haw, 2017, p. 239). This problem must be addressed. However, because diverse cultures exist within these populations, it can be difficult to formulate and implement an appropriate intervention method. Therefore, the need arises to research if culturally tailored intervention strategies can be more useful and effective at improving certain diabetes markers like HbA1C.
Of the articles researched, a handful demonstrated results that proved such diabetes programs can be effective at improving these markers along with other key markers like psychobehavioral patterns. “…culturally tailored diabetes programs are effective at improving patients’ objectively measured clinical outcomes,...
References
Devonish, J. A., Singh, S., Tomkinson, E., & Morse, G. D. (2017). Novel Considerations about Diabetes Management Strategies in Chinese Immigrants in America: Possible Corollaries of the Use of Traditional Chinese Medicines. INNOVATIONS in pharmacy, 8(2), 1. doi:10.24926/iip.v8i2.509
Fayfman, M., & Haw, S. (2017). Diabetes in Racial and Ethnic Minorities in the United States: Individualizing Approaches to Diagnosis and Management. Current Diabetes Reviews, 13(3), 239-250. doi:10.2174/1573399812666160926142036
Joo, J. Y. (2014). Effectiveness of Culturally Tailored Diabetes Interventions for Asian Immigrants to the United States. The Diabetes Educator, 40(5), 605-615. doi:10.1177/0145721714534994
Patel, R. M., Misra, R., Raj, S., & Balasubramanyam, A. (2017). Effectiveness of Culturally Tailored Diabetes Interventions for Asian Immigrants to the United States. Journal of Diabetes Research, 2017, 1-13. doi:10.1155/2017/2751980
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Overview The scholarly activity that I participated in was a workshop organized by the Hindu/Sikh community of our city at the Shri Durga Temple. The purpose of the workshop was to provide basic health education and basic health screenings—for example, cholesterol level checks, blood sugar level checks, blood pressure exams, BMI, weight measurements, free blood pressure monitoring and a blood donation camp. The target market for the activity was the non-white,
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