ArticleBMC public health2024
Participant and group facilitator perspectives on a novel culturally tailored diabetes self-management program for African Americans.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Challenges and barriers in managing Type 2 diabetes: insights from a qualitative study of patients' experiences at a university hospital in Qassim, Saudi Arabia.Global health action · 2026Article
- Culturally adapting diabetes self-management education: a community engaged co-design approach.Translational behavioral medicine · 2026Article
- Feasibility and preliminary outcomes of a peer-led diabetes self-management support program for black men: the michigan men's diabetes project (MenD II).Frontiers in clinical diabetes and healthcare · 2026Article
- Culturally adapting an evidence-based diabetes self-management education program for black adults: a pilot mixed methods implementation study.Frontiers in public health · 2026Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundAfrican Americans with type 2 diabetes experience disparities in their care and diabetes health-related outcomes. Diabetes self-management programs such as Healthy Living with Diabetes (HLWD) are important but do not account for the unique cultural experiences of African Americans. Also, a culturally tailored program focused on addressing sociocultural beliefs and providing race-congruent peer support, Peers LEAD (Peers Supporting Health Literacy, Self-Efficacy, Self-Advocacy, and Adherence) was implemented in two midwestern cities to improve medication adherence but does not include diabetes self-management topics included in HLWD. In an attempt to fill the gaps from both HLWD and Peers LEAD, Peers EXCEL (Peers' Experience in Communicating and Engaging in Healthy Living) was designed to integrate both programs.
methodsOur study explored the perceptions of African American participants and facilitators of the separate HLWD and Peers LEAD programs, on the proposed new Peers EXCEL program using focus groups and interviews. Findings were analyzed by research assistants trained in qualitative research using deductive and inductive open coding approaches.
resultsParticipants appreciated the cultural fit of Peers EXCEL for African American communities which is a feature that was lacking in HLWD. They shared the need to include topics such as the relationships between systemic racism and diabetes.
conclusionParticipants' feedback of Peers EXCEL reveals the importance of including various community members' perspectives in the design of new diabetes self-management programs tailored for African Americans.
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