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Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders

Author

Listed:
  • Meng-Jung Wen

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Martha Maurer

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Luke Schwerer

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Nassim Sarkarati

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Ugboaku Maryann Egbujor

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Jenna Nordin

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

  • Sharon D. Williams

    (School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA)

  • Yao Liu

    (School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA)

  • Olayinka O. Shiyanbola

    (School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA)

Abstract

Background: There is an urgent need for culturally tailored diabetes self-management education to improve health outcomes in African Americans, especially given the disproportionate prevalence of diabetes and medication non-adherence. Stakeholder engagement can guide and enrich the development of these interventions by integrating content directly addressing barriers to African Americans’ adherence with existing community-based diabetes self-management education programs. The aim of this study is to explore stakeholder perspectives on a novel culturally tailored diabetes self-management program for African Americans. Methods: Thirteen semi-structured individual interviews were conducted in a large Midwestern U.S. city with healthcare professionals and organizational leaders serving African American communities and/or providing diabetes education. Transcripts were analyzed using directed content analysis with the Consolidated Framework for Implementation Research and inductive content analysis. Results: Five overarching themes were identified: (1) fulfill needs among stakeholders, (2) creating a supportive and trusting environment to address distrust, (3) building relationships and empowering peers, (4) logistical organization barriers to program implementation and (5) challenges to program acceptance by participants. Conclusion: Stakeholders delineated how the new culturally tailored diabetes self-management program aligned with the needs of African American patients. Perceived challenges and corresponding strategies to address barriers to participation were identified to inform program implementation and sustainability.

Suggested Citation

  • Meng-Jung Wen & Martha Maurer & Luke Schwerer & Nassim Sarkarati & Ugboaku Maryann Egbujor & Jenna Nordin & Sharon D. Williams & Yao Liu & Olayinka O. Shiyanbola, 2022. "Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders," IJERPH, MDPI, vol. 19(19), pages 1-15, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12814-:d:935072
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    References listed on IDEAS

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    1. Tricia K Gatlin & Reimund Serafica & Michael Johnson, 2017. "Systematic review of peer education intervention programmes among individuals with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4212-4222, December.
    2. Ruqaiijah Yearby, 2018. "Racial Disparities in Health Status and Access to Healthcare: The Continuation of Inequality in the United States Due to Structural Racism," American Journal of Economics and Sociology, Wiley Blackwell, vol. 77(3-4), pages 1113-1152, May.
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