A Community-Based Participatory Research Approach to Diabetes Education With a Homeless and Low-Income Female Population

Wednesday, July 13, 2011: 1:45 PM

Margaret Mahoney, PhD, RN
School of Nursing, MGH Institute of Health Professions, Charlestown, MA
Kathy Kates, MS
Primary Care, Joseph M. Smith, Waltham, MA
Christina Kim, MS
Palliative Care, Mass General Hospital, Boston, MA
Amanda Norton, MS
General Medical, Mass General Hospital, Boston, MA

Learning Objective 1: The learner will be able to utilize the principles of community based participatory action research to adapt evidence based practice guidelines for culturally competent interventions.

Learning Objective 2: The learner will be able to develop strategies for diabetes education and management for homeless women with low health literacy and limited resources..

A Community-Based Participatory Research Approach to Diabetes Education With a Homeless and Low-Income Female Population

Margaret Mahoney, Kathy Kates, Christina Kim, Amanda Norton

Type II diabetes mellitus (DM) is a complex disease that is especially challenging to manage within a homeless and low-income population. Furthermore, this population faces significant barriers including poor access to care, low health literacy and care that is frequently lacking in cultural competence. Current literature is inadequate in addressing effective ways to manage Type II DM within this population. Community-based participatory research (CBPR) provided the framework for us to build a trusting relationship with a group of women in a transitional shelter and to implement and evaluate educational interventions for diabetes management. We held a series of five diabetes education classes for low-income and homeless women, utilizing a teaching tool which we had previously developed.  Not only did we serve as educators, but we in turn became students of the low-income and homeless women, learning from them about the specific challenges they face in living with DM. This process afforded us ongoing feedback about the effectiveness of our teaching tool, as well as the opportunity to provide more tailored and culturally sensitive recommendations for this particular population.