ArticleTranslational behavioral medicine2026
Culturally adapting diabetes self-management education: a community engaged co-design approach.
Article in Translational behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- An Age-Adapted Co-Design Methodology for Community Health Research Involving Older Adults With Type 2 Diabetes.Health expectations : an international journal of public participation in health care and health policy · 2026Article
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Authors and funding
5 authors.
Funding
Abstract
backgroundBlack adults are disproportionately burdened by diabetes as they face systemic, cultural, and historical barriers to participating in and engaging in diabetes self-management education (DSME). Adapting DSME to address lived experiences and cultural values of Black adults may improve its effectiveness and relevance. PURPOSE: This study describes the co-design process of collaborating with a Stakeholder Advisory Board (SAB) to develop a culturally adapted supplemental guide for facilitators to use alongside an evidence-based DSME curriculum, titled Healthy Living with Diabetes (HLWD).
methodsWe actively engaged a SAB consisting of Black adults with diabetes, previous HLWD facilitators, community health workers, and community leaders. To guide the adaptation of the DSME curriculum for Black adults, we held five structured co-design SAB meetings with the focus of tailoring the content and implementation strategies. Qualitative meeting notes including feedback from the SAB were analyzed to inform the development of the supplemental guide.
resultsThe SAB emphasized the importance of including the addressing of social and historical context, mistrust, family influence, stigma, and emotional challenges within Black communities. The co-developed supplemental guide included culturally relevant visuals, analogies, and facilitation strategies. The implementation strategies focused on relationship development, trauma-informed facilitation, and the use of affirming language.
conclusionsA culturally rooted codesign approach along with Stakeholder Advisory Board engagement led to the creation of a culturally adapted DSME supplemental guide that may enhance the engagement and cultural relevance of DSME programs for Black adults.
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