Effective Interventions in Diabetes Education for Latinos

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Effective Interventions in Diabetes Education for
Latinos

• Thursday May 8, 2008
• CDC Diabetes Translation Conference 2008
• Amparo González, RN,BSN,CDE
• Director, Emory Latino Diabetes Education Program

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Emory Latino Diabetes Education Program

• Needs assessment
• Program for patients
• Program for providers
• Outreach
• Marketing efforts
• Outcomes

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Emory Latino Diabetes Education Program Program
Description

• Needs Assessment
• Latinos represent the largest minority group in
  the United States with a population of 35 million
  or 12.5.
• Prevalence of type 2 diabetes is 1.9 times higher
  in Latinos than non-whites.
• Approximately 24 percent of Latinos over the age
  of 45 years have diabetes.
• In Georgia, Latinos make up approximately 6.5 of
  the population
• During 1990 and 2000, the prevalence of diabetes
  in Fulton and Dekalb counties, two of the most
  populated areas in Georgia and the Atlanta
  metropolitan area increased by 30.
• Language and cultural barriers represent the two
  most important obstacles in educating and
  improving the care of Latino patients with
  diabetes.
• Less than 5 of physicians, 2 of nurses, and
  2.5 of dentists in the US speak Spanish.

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Program for patients

• Viva mas y mejor con su Diabetes bajo control!
• Monthly classes different locations
• Questionnaire and biometrics
• Program based of AADE 7 Self-care Behavior
  framework
• Education Materials
• Flip chart

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Gainesville Northeast Medical Center Lanier Park
North Fulton Hospital
Mercy Clinic Athens
Emory Latino Diabetes Education Program (ELDEP)
Mexican Consulate Atlanta
Mercy Care St. Josephs
Grady Health System Diabetes Clinic Intl Medical
Center North DeKalb
Latin American Association Chamblee,
Gwinnett North Fulton
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Process

• Identify area
• Identify location for class
• Develop relationship and support for program
• Define date for class
• Training for providers
• Provide materials

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Emory Latino Diabetes Education Program Program
Description

• Target Population Demographic Characteristics

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Emory Latino Diabetes Education Program Program
Description
Target Population Social Characteristics
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Marketing efforts

• Flyers and Appointment cards
• Radio
• Newspaper
• TV

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Marketing efforts Latino Newspapers
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Marketing efforts Posters and Referral Cards
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Effectively Managing Diabetes in Latinos

• Goal
• To aid healthcare professionals in the further
  development of their skills and expertise in
  diabetes treatment and patient education using
  culturally appropriate interventions
• Target Audience
• Results
• Future plans

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Marketing efforts Invitations
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Diabetes y ahora que hago?

• Flip chart
• Video

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Qué es la Diabetes?
Azúcar
Sangre
Célula
Insulina
Célula
Célula
Esto es Diabetes
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En cuanto debe estar mi azúcar?

• CUÁL ES LA META?
• 120

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Prevention

• Consulate of Mexico in Atlanta Ventanilla de
  Salud

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Community activities

• Univision Health Fair
• ADA diabetes Expo
• Semana Binacional de Salud
• Diabetes Health partner Mexican Consulate

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Outcomes
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Outcomes
-Patients that participated in both classes
increased routine BG monitoring from 26.7 to
73.3 (plt.048) -the use of BG log tools from
42.5 to 57.5 (plt.560) -the rate of insulin use
from 14 to 19.
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Future initiatives

• Development of education materials
• Validate curriculum
• Capacity training for non-professionals

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• Muchisimas gracias!