Paper
Saturday, July 24, 2004
This presentation is part of : Caregiving and Chronic Illness
Strategies to Improve Blood Glucose in Chinese Immigrants
Chen-Yen Wang, ANP-BC, CDE and Alain Chan, RN. Nursing, University of Hawaii at Manoa, School of Nursing and Dental Hygiene, Honolulu, HI, USA
Learning Objective #1: Verbalize dilemmas of adaptation in Chinese immigrants
Learning Objective #2: Describe patterns of medication, treatment, and communication with providers in Chinese immigrants

Prevalence of diabetes among Chinese increases after immigration. Obstacles to achieve optimal diabetes management in Chinese immigrants indicates that traditional American diabetes management strategies remain difficult for immigrants to access, largely due to language barriers, difficulty in lifestyle transitions, financial constraints, incomplete acculturation, and the use of traditional Chinese medicine and therapy.

Purpose

The first purpose of this study was to assess the feasibility and acceptability of a culturally appropriate diabetes management program tailored to Chinese immigrants with type-2 diabetes. The second purpose was to examine outcomes of the intervention.

Method

Forty eligible subjects were recruited via network sampling, physician referrals or newspaper advertisements to participate in this 10-session program. Data regarding the use of Chinese medicine and therapy were collected by interviewing at baseline. Feasibility and acceptability of the program were evaluated by percentage of participants meeting the course objectives and participants’ satisfaction with the program. Outcomes measures included the body weight, blood pressure and HbA1c levels which were measured at the beginning, the end and three months following program completion.

Results

Eight percent of the participants concurrently used Chinese medicine and Western medicine. Results revealed that 75% of the participants understood the course content, while 70% of them were able to identify and demonstrate various diabetes management skills. All participants were satisfied with the program. Regarding outcome variables, 43.6% of the participants lost more than 5 pounds, had an average of 1% reduction in HbA1c level and reduction in blood pressure at 3 months post program completion.

Conclusion

The favorable outcomes of this culturally tailored diabetes program indicate that it is a feasible and acceptable tool in reducing the health disparities in the Chinese immigrant population and may be adapted for use in other ethnic groups.

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