Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design
Abstract Background The global incidence of type 2 diabetes is rapidly rising, particularly among migrants in developed countries. Migrants bear a significant burden of diabetes. However, this study is the only to evaluate the effects of a culturally appropriate diabetes intervention for these migra...
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BMC
2025-01-01
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| Online Access: | https://doi.org/10.1186/s12875-024-02689-7 |
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| author | Katarina Hjelm Emina Hadziabdic |
| author_facet | Katarina Hjelm Emina Hadziabdic |
| author_sort | Katarina Hjelm |
| collection | DOAJ |
| description | Abstract Background The global incidence of type 2 diabetes is rapidly rising, particularly among migrants in developed countries. Migrants bear a significant burden of diabetes. However, this study is the only to evaluate the effects of a culturally appropriate diabetes intervention for these migrants on diabetes knowledge and health outcomes, adding a novel perspective to the existing literature. The aim of the study was to evaluate the effects on diabetes knowledge, HbA1c, and self-rated health of a previously developed, culturally appropriate diabetes education model, based on individual beliefs about health and illness, underpinned by knowledge, and conducted through focus group discussions. Methods Observational study evaluating the intervention using a pre-test-post-test design. It involved structured interviews and HbA1c measurements before, immediately after, and three months post-participation in the group-based intervention. The study included 22 migrants from the Middle East and Africa, divided into eight focus groups. The group education was conducted by a multi-professional team, led by a diabetes specialist nurse, in primary healthcare settings. Descriptive and analytical statistics applied in analysing data. Results The findings showed that participation in the diabetes education significantly improved the knowledge levels, led to an initial change and possible short-term improvement in HbA1c (better immediate post-intervention), albeit statistically insignificant, but no change in glycaemic control over time and in self-rated health (SRH). Conclusions The findings supported the hypothesis of improved knowledge. Moreover, the findings showed a possible initial change in glycaemic control, but no overall effect. The study showed no change in self-rated (perceived) health. Further studies involving other populations and long-term follow-ups are needed. This study highlights the importance of culturally tailored diabetes educational programmes in our multicultural society. By recognising individual beliefs about health and illness, this education programme can significantly increase knowledge and thereby contribute to improved self-care and thus, overall health. Furthermore, it is recommended for daily practice in primary healthcare, supporting healthcare professionals with a proven strategy to increase knowledge. |
| format | Article |
| id | doaj-art-87ec9d00264d477aba2eccbeca93dec5 |
| institution | Kabale University |
| issn | 2731-4553 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Primary Care |
| spelling | doaj-art-87ec9d00264d477aba2eccbeca93dec52025-01-05T12:42:11ZengBMCBMC Primary Care2731-45532025-01-0126111210.1186/s12875-024-02689-7Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test designKatarina Hjelm0Emina Hadziabdic1Department of Public Health and Caring Sciences, Uppsala UniversityDepartment of Public Health and Caring Sciences, Uppsala UniversityAbstract Background The global incidence of type 2 diabetes is rapidly rising, particularly among migrants in developed countries. Migrants bear a significant burden of diabetes. However, this study is the only to evaluate the effects of a culturally appropriate diabetes intervention for these migrants on diabetes knowledge and health outcomes, adding a novel perspective to the existing literature. The aim of the study was to evaluate the effects on diabetes knowledge, HbA1c, and self-rated health of a previously developed, culturally appropriate diabetes education model, based on individual beliefs about health and illness, underpinned by knowledge, and conducted through focus group discussions. Methods Observational study evaluating the intervention using a pre-test-post-test design. It involved structured interviews and HbA1c measurements before, immediately after, and three months post-participation in the group-based intervention. The study included 22 migrants from the Middle East and Africa, divided into eight focus groups. The group education was conducted by a multi-professional team, led by a diabetes specialist nurse, in primary healthcare settings. Descriptive and analytical statistics applied in analysing data. Results The findings showed that participation in the diabetes education significantly improved the knowledge levels, led to an initial change and possible short-term improvement in HbA1c (better immediate post-intervention), albeit statistically insignificant, but no change in glycaemic control over time and in self-rated health (SRH). Conclusions The findings supported the hypothesis of improved knowledge. Moreover, the findings showed a possible initial change in glycaemic control, but no overall effect. The study showed no change in self-rated (perceived) health. Further studies involving other populations and long-term follow-ups are needed. This study highlights the importance of culturally tailored diabetes educational programmes in our multicultural society. By recognising individual beliefs about health and illness, this education programme can significantly increase knowledge and thereby contribute to improved self-care and thus, overall health. Furthermore, it is recommended for daily practice in primary healthcare, supporting healthcare professionals with a proven strategy to increase knowledge.https://doi.org/10.1186/s12875-024-02689-7Culturally appropriate diabetes education modelEffect of interventionGroup-basedMigrantsObservational studyPre-post-test design |
| spellingShingle | Katarina Hjelm Emina Hadziabdic Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design BMC Primary Care Culturally appropriate diabetes education model Effect of intervention Group-based Migrants Observational study Pre-post-test design |
| title | Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design |
| title_full | Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design |
| title_fullStr | Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design |
| title_full_unstemmed | Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design |
| title_short | Effects of culturally-appropriate group education for migrants with type 2 diabetes in primary healthcare: pre-test-post-test design |
| title_sort | effects of culturally appropriate group education for migrants with type 2 diabetes in primary healthcare pre test post test design |
| topic | Culturally appropriate diabetes education model Effect of intervention Group-based Migrants Observational study Pre-post-test design |
| url | https://doi.org/10.1186/s12875-024-02689-7 |
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