Improving Health and Diabetes Self-Management in Immigrants with Type 2 Diabetes Through a Co-Created Diabetes Self-Management Education and Support Intervention
Research output: Contribution to journal › Journal article › Research › peer-review
Documents
- Fulltext
Final published version, 576 KB, PDF document
To examine the impact of a co-created culturally sensitive diabetes self-management education and support (DSMES) intervention on the physical and mental health of immigrants with type 2 diabetes (T2D). Pre- and post-test among people with T2D whose primary language was Urdu, Arabic or Turkish (n = 97). Participants were offered a six-week intervention based on a person-centred approach using research-based dialogue tools to facilitate learning and reflection, which was developed in co-creation with immigrants and healthcare professionals. Data were collected at baseline, post-intervention and after 6 months and analysed using paired t-tests, Wilcoxon signed-rank tests, chi-square tests and regression models when appropriate. Several clinical outcomes were improved post-intervention, including HbA1c (P < 0.001), body fat percentage (P = 0.002), self-rated general health (P = 0.05), well-being (P = 0.004) and several self-management behaviours, e.g., physical activity (P < 0.001). Most outcomes remained improved after 6 months, but the effect on HbA1c was no longer statistically significant. Some outcomes were improved only at 6 months, including waist circumference (P < 0.001) and diabetes-related emotional distress (P < 0.001). Fatigue did not change. Attendance at more programme sessions was associated with better outcomes. The DSMES intervention developed in a co-creation process was highly effective in improving the health of immigrants with T2D.
Original language | English |
---|---|
Journal | Journal of Community Health |
Pages (from-to) | 141–151 |
Number of pages | 11 |
ISSN | 0094-5145 |
DOIs | |
Publication status | Published - 2023 |
- Immigrants, Cultural sensitivity, Co-creation, Diabetes self-management, Type 2 diabetes, PREVALENCE, MORTALITY, ADULTS, CARE, DENMARK
Research areas
Number of downloads are based on statistics from Google Scholar and www.ku.dk
ID: 325918679