Family Model of Diabetes Education With a Pacific Islander Community

Pearl Anna McElfish, Melissa D. Bridges, Jonell S. Hudson, Rachel S. Purvis, Zoran Bursac, Peter O. Kohler, Peter A. Goulden

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose The purpose of the study was to use a community-based participatory research approach to pilot-test a family model of diabetes education conducted in participants’ homes with extended family members. The pilot test included 6 families (27 participants) who took part in a family model of diabetes self-management education (DSME) using an intervention-driven pre- and posttest design with the aim of improving glycemic control as measured by A1C. Questionnaires and additional biometric data were also collected. Researchers systematically documented elements of feasibility using participant observations and research field reports. More than three-fourths (78%) of participants were retained in the study. Posttest results indicated a 5% reduction in A1C across all participants and a 7% reduction among those with type 2 diabetes. Feasibility of an in-home model with extended family members was documented, along with observations and recommendations for further DSME adaptations related to blood glucose monitoring, physical activity, nutrition, and medication adherence. The information gained from this pilot helps to bridge the gap between knowledge of an evidence-based intervention and its actual implementation within a unique minority population with especially high rates of type 2 diabetes and significant health disparities. Building on the emerging literature of family models of DSME, this study shows that the family model delivered in the home had high acceptance and that the intervention was more accessible for this hard-to-reach population.

Original languageEnglish (US)
Pages (from-to)706-715
Number of pages10
JournalThe Diabetes Educator
Volume41
Issue number6
DOIs
StatePublished - Jan 1 2015

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Education
Self Care
Type 2 Diabetes Mellitus
Community-Based Participatory Research
Medication Adherence
Population
Blood Glucose
Research Personnel
Health

All Science Journal Classification (ASJC) codes

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)

Cite this

McElfish, P. A., Bridges, M. D., Hudson, J. S., Purvis, R. S., Bursac, Z., Kohler, P. O., & Goulden, P. A. (2015). Family Model of Diabetes Education With a Pacific Islander Community. The Diabetes Educator, 41(6), 706-715. https://doi.org/10.1177/0145721715606806

Family Model of Diabetes Education With a Pacific Islander Community. / McElfish, Pearl Anna; Bridges, Melissa D.; Hudson, Jonell S.; Purvis, Rachel S.; Bursac, Zoran; Kohler, Peter O.; Goulden, Peter A.

In: The Diabetes Educator, Vol. 41, No. 6, 01.01.2015, p. 706-715.

Research output: Contribution to journalArticle

McElfish, PA, Bridges, MD, Hudson, JS, Purvis, RS, Bursac, Z, Kohler, PO & Goulden, PA 2015, 'Family Model of Diabetes Education With a Pacific Islander Community', The Diabetes Educator, vol. 41, no. 6, pp. 706-715. https://doi.org/10.1177/0145721715606806
McElfish PA, Bridges MD, Hudson JS, Purvis RS, Bursac Z, Kohler PO et al. Family Model of Diabetes Education With a Pacific Islander Community. The Diabetes Educator. 2015 Jan 1;41(6):706-715. https://doi.org/10.1177/0145721715606806
McElfish, Pearl Anna ; Bridges, Melissa D. ; Hudson, Jonell S. ; Purvis, Rachel S. ; Bursac, Zoran ; Kohler, Peter O. ; Goulden, Peter A. / Family Model of Diabetes Education With a Pacific Islander Community. In: The Diabetes Educator. 2015 ; Vol. 41, No. 6. pp. 706-715.
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