• Login
    View Item 
    •   Home
    • UA Graduate and Undergraduate Research
    • UA Theses and Dissertations
    • Dissertations
    • View Item
    •   Home
    • UA Graduate and Undergraduate Research
    • UA Theses and Dissertations
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UA Campus RepositoryCommunitiesTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournalThis CollectionTitleAuthorsIssue DateSubmit DateSubjectsPublisherJournal

    My Account

    LoginRegister

    About

    AboutUA Faculty PublicationsUA DissertationsUA Master's ThesesUA Honors ThesesUA PressUA YearbooksUA CatalogsUA Libraries

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Diabetes among African Refugees: Addressing Risks Awareness through Culturally Sensitive Education

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    azu_etd_16761_sip1_m.pdf
    Size:
    1.292Mb
    Format:
    PDF
    Download
    Author
    Maduma, Daniel
    Issue Date
    2018
    Keywords
    African Refugees
    Culturally Sensitive Education
    Diabetes Risks
    Lifestyle and Diet Recommendation
    Advisor
    Gregg, Renee S.
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: The incidence of diabetes and its associated health consequences continue to increase among socio-economically disadvantaged populations. According to the Center for Disease Control and Prevention (CDC), African Americans have an incidence nearly double that of non-Hispanic white Americans at 12.7% vs 7.4% (CDC, 2017). Among African refugees some studies have shown their diabetes incidence increasing the longer they stay in the United States (Wieland et al., 2012; Venters & Gany, 2011). Low risk awareness, enculturation to more sedentary lifestyle, language barriers, and African culture characterized by a reluctance to address or discuss health concerns with people outside of close family all contribute to this trend. Objective: To improve diabetes risk awareness among African refugees who get their services through Refugee Focus (Lutheran Social Services of South West [LSSW]) in Tucson Arizona. Methods: The Quality Improvement (QI) project utilized descriptive statistics to assess participants’ gain in diabetes knowledge as a result of a culturally sensitive education intervention. Pre and Post-test was used to evaluate participant knowledge of diabetes risks, basic facts of the disease, management, and prevention highlights developed from education recommendations by the ADA, the CDC, and the National Institute of Health (NIH). Both the pre-test and post-test contained similar questions to enable assessment of baseline knowledge and corresponding gains attributable to the culturally sensitive education. Settings: Lutheran Social Services of South West (LSSSW) office in Tucson was used as the site for participants recruitment and implementation. The project was approved by the University of Arizona Internal Review Board (UAIRB) to ensure compliance with required conduct of project and protection of human participants. Eight participants enrolled in the project and seven (n=7) completed. Results: Individual pre-test sum scores ranged from 22 to 36 out of possible 36 points maximum score with group mean of 30.9, median of 33. Post-test scores ranged from 33 to 36, group mean of 35.1, median score 33. The results showed significant differences between the pre-test and post-test scores with the mean difference of 4.29 (t6=2.937; 95% C.I: 0.715-7.856; p-value = 0.026). T6 represents a t-distribution with 6 degrees of freedom. All participants with pretest less than the maximum possible score showed some gain in knowledge following the culturally sensitive education. Participants with the lowest education level (fourth grade) generally showed the least baseline knowledge and had the most gain due to the education. Conclusion: Culturally sensitive diabetes education is an effective strategy in increasing awareness of diabetes risks and literacy among refugees receiving services at the LSSSW in Tucson, Arizona. Participants showed significant gains in key aspects of diabetes knowledge tested including risks factors, glycemic management, and lifestyle and diet recommendations for prevention and living with the disease. The project results show that refugees at this location could benefit from getting this information as part of refugee-orientation education. The information has been given to staff at LSSSW to repeat for diabetes awareness or other illnesses identified as a health concern among this refugee population receiving services at this location. Key words: Culturally sensitive education; Diabetic risks, lifestyle and diet recommendation.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
    Collections
    Dissertations

    entitlement

     
    The University of Arizona Libraries | 1510 E. University Blvd. | Tucson, AZ 85721-0055
    Tel 520-621-6442 | repository@u.library.arizona.edu
    DSpace software copyright © 2002-2017  DuraSpace
    Quick Guide | Contact Us | Send Feedback
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.