Authors: Sarah Castro et al.

Publication Year: 2009

Last Updated: 

Journal: Preventing Chronic Disease: Public Health Research, Practice, and Policy

Keywords: Cultural Sensitivity and Appropriateness; Diabetes; Self-Management; Holistic

Short Abstract: Background: Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population.

Abstract: Background: Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population. Context: Community and clinic partners worked together to identify barriers to diabetes self-management and to provide activities and services as part of a holistic approach to diabetes self-management, called the Full Circle Diabetes Program. Methods: The program activities and services addressed 4 components of holistic health: body, spirit, mind, and emotion. Seven types of activities or services were available to help participants improve diabetes self-management; these included exercise classes, educational classes, and talking circles. Consequences: Ninety-eight percent of program enrollees participated in at least 1 activity, and two-thirds participated in 2 or more activities. Program participation resulted in a significant improvement in knowledge of resources for managing diabetes. Interpretation: The Full Circle Diabetes Program developed and implemented culturally relevant resources and supports for diabetes self-management in an American Indian population. Lessons learned included that a holistic approach to diabetes self-management, community participation, and stakeholder partnerships are needed for a successful program.

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2774645/pdf/PCD64A131.pdf

Type of Resource: Peer-reviewed scientific article