ArticleJMIR research protocols2025
Assessing a Person-Centered and Culturally Sensitive Intervention for Arabic-, Turkish, or Urdu-Speaking Individuals With Type 2 Diabetes: Protocol for a Mixed Methods Realist Evaluation Study.
Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIndividuals from ethnic minority backgrounds have a 2.5 times higher incidence of type 2 diabetes (T2D) than ethnic Danes. They often face negative experiences with health care professionals, leading to unequal treatment. A person-centered and culturally adapted treatment approach can improve self-care, diabetes management, and treatment adherence.
objectiveThis mixed methods realist evaluation (RE) protocol aims to understand how a person-centered and culturally sensitive course of treatment for T2D works, for whom it is most effective, and under what circumstances it is likely to be effective.
methodsThis RE is embedded within a 1-year randomized controlled trial, the Culturally Sensitive Course of Treatment for Individuals With T2D (ACCT2) study, for Arabic-, Turkish-, or Urdu-speaking individuals with suboptimal glycated hemoglobin (HbA
resultsAs of December 2024, a total of 13 visits and 4 interviews had been completed. All baseline survey responses have been collected, along with 2 survey responses at the end of the intervention. Data analysis is pending. The results will inform revisions to the initial program theories, refining a comprehensive model that captures interactions between context, mechanisms, and outcomes. We anticipate disseminating the findings in the first half of 2026.
conclusionsThis RE will support the randomized controlled trial by providing insights applicable to real-life clinical settings. The anticipated impact includes aiding the future development and implementation of interventions for the target groups. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/69852.
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