Self-Management and Glycemic Targets in Adult Haitian Immigrants With Type 2 Diabetes: Research Protocol.

Cherlie Magny-Normilus, Robin Whittemore, Marcella Nunez-Smith, Christopher S Lee, Jeffrey Schnipper, Deborah Wexler, Julie A Sanders, Margaret Grey
Author Information

Abstract

BACKGROUND: Type 2 diabetes (T2D) is a chronic condition affecting more than 34.2 million U.S. adults, and people of African descent have a disproportionate burden. Haitian immigrants' unique cultural and biological factors put them at elevated risk for T2D-related complications. Despite prior research highlighting the success of multimethod approaches to T2D self-management behaviors on glycemic targets, a dearth of studies have used these methods to improve diabetes self-management in this marginalized population.
OBJECTIVES: This article describes a repeated-measures design protocol of a going study about self-management behaviors among adult Haitian immigrants with T2D and characterizing their barriers to T2D self-management.
METHODS: We will enroll 100 Haitian immigrants aged 18-64 years who have lived with T2D for at least 1 year. Using multiple recruitment methods and Research Electronic Data Capture, subjective and objective data on T2D self-management practices, glucose variability via continuous glucose monitor, and a comprehensive view of physical activity via actigraphy are collected.
RESULTS: Data analysis will follow a two-part approach mirroring the two primary study objectives.
DISCUSSION: Findings from the study will guide the development and testing of a culturally tailored diabetes self-management education program that will contribute essential information about best practices for this population and break barriers that may impede research on unique individuals and subsequent effective self-management.

References

  1. Med Sci Sports Exerc. 1993 Jan;25(1):60-70 [PMID: 8423758]
  2. J Cult Divers. 2009 Spring;16(1):5-9 [PMID: 20669397]
  3. Ann Pharmacother. 2014 May;48(5):589-95 [PMID: 24523393]
  4. Med Sci Sports Exerc. 2005 Nov;37(11 Suppl):S563-71 [PMID: 16294119]
  5. Int J Ayurveda Res. 2010 Jan;1(1):55-7 [PMID: 20532100]
  6. Diabetes Educ. 2011 Nov-Dec;37(6):770-9 [PMID: 22002970]
  7. Diabetes Technol Ther. 2016 Feb;18 Suppl 2:S3-S13 [PMID: 26784127]
  8. J Immigr Minor Health. 2020 Apr;22(2):399-409 [PMID: 31227973]
  9. Qual Health Res. 2001 Jul;11(4):522-37 [PMID: 11521609]
  10. Diabetes Metab J. 2015 Aug;39(4):273-82 [PMID: 26301188]
  11. J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1183-92 [PMID: 8824062]
  12. J Transcult Nurs. 2020 Jan;31(1):51-58 [PMID: 30957666]
  13. J Diabetes Res. 2015;2015:921274 [PMID: 25977930]
  14. Nurs Outlook. 2015 Mar-Apr;63(2):162-70 [PMID: 25771190]
  15. Diabetes Care. 2000 Jul;23(7):943-50 [PMID: 10895844]
  16. J Nutr Metab. 2011;2011:398324 [PMID: 22187639]
  17. Prev Med Rep. 2015;2:563-567 [PMID: 26346575]
  18. Res Nurs Health. 2010 Feb;33(1):77-84 [PMID: 20014004]
  19. Arq Bras Endocrinol Metabol. 2012 Oct;56(7):449-55 [PMID: 23108750]
  20. Sci Diabetes Self Manag Care. 2021 Feb;47(1):30-53 [PMID: 34078208]
  21. Am J Public Health. 2014 Aug;104(8):e25-31 [PMID: 24922170]

Grants

  1. K99 NR019325/NINR NIH HHS
  2. U54 MD010711/NIMHD NIH HHS
  3. UL1 TR001863/NCATS NIH HHS
  4. R00 NR019325/NINR NIH HHS
  5. T32 NR008346/NINR NIH HHS

MeSH Term

Humans
Adult
Diabetes Mellitus, Type 2
Self-Management
Haiti
Blood Glucose
Emigrants and Immigrants

Chemicals

Blood Glucose

Word Cloud

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