Concept Synthesis Guidelines Instructions Complete a focused literature synthesis on a key concept related to your actual or anticipated DNP project. General paper requirements: • 5 page limit (excl

Summary

Ebsco host Medline “Type 2 diabetes literacy, Prevention*”

Explaining variance in health literacy among people with type 2 diabetes: the association

between health literacy and health behavior and empowerment.

To reflect the health literacy (HL) skills needed for managing type 2 diabetes (T2DM) in everyday life, HL in people with T2DM should be assessed from a broader point of view than basic skills, such as competence in reading and writing. The HLS-Q12, based on the European Health Literacy Survey Questionnaire (HLS-EU-Q47), assesses four cognitive spheres of influence across three health domains. International studies on people with T2DM show contradicting results regarding the correlation between HL and general health and HL and glycemic control. Knowledge is necessarily related between HL and empowerment for those with T2DM. The aims were to examine the association between i) HL and general health and diabetes outcomes. HL and health behaviors and HL and empowerment in people with T2DM. Upon assessment, adults with T2DM responded to a paper-and-pencil self-administered questionnaire. A multiple regression analysis was applied to explore the association between HL, as measured by the HLS-Q12, and health conditions, HbA1c, health behaviors, and empowerment.

The people with T2DM and higher levels of HL were associated with higher levels of education, better overall health conditions, and higher self-perceived empowerment. By no means did empirical evidence support either the link between HL and glycemic control or the link between HL and health behaviors was found. The independent variables were education level, overall health condition, and empowerment, which explained about one-third of the observed variance in HL.

Reference:

Finbråten, H. S., Guttersrud, Ø., Nordström, G., Pettersen, K. S., Trollvik, A., & Wilde-Larsson, B. (2020). Explaining variance in health literacy among people with type 2 diabetes: the

association between health literacy and health behavior and empowerment. BMC Public Health, 20(1), 161. https://doi.org/10.1186/s12889-020-8274-z

Ebsco "type 2 diabetes in the impoverished communities."

Rural Collaborative Model for Diabetes Prevention and Management: A Case Study

 Diabetes disproportionately affects racial and ethnic minorities, rural and impoverished populations. A diabetes prevention and management program is essential in communities where they lack many resources. Community health worker (CHW) roles are created to reach and support distinct populations as providers and educators focused exclusively on health education and patient navigators individually coached patients with chronic disease management issues for the high-risk patient population. Multisector partnerships allowed the program to offer health and social services around diabetes care. The partners also supported provider engagement through continuing education workshops and digital story screening to encourage referrals to the program. Multisector organizations, partnering with critical access hospitals for diabetes management and prevention, and using different types of CHWs to implement programs that target high- and low-risk populations are innovative and valuable components.

Reference:

Kunz, S., Ingram, M., Piper, R., Wu, T., Litton, N., Brady, J., & Knudson, A. (2017). Rural Collaborative Model for Diabetes Prevention and Management: A Case Study. Health Promotion Practice, 18(6), 798–805. https://doi.org/10.1177/1524839917712730

ProQuest: "diabetes type 2 in the impoverished community."

Comparing Diabetes Prevalence Between African Americans and Whites of Similar Socioeconomic Status

The prevalence of type 2 diabetes exists beyond what may be attributable to differences in socioeconomic status (SES) and other modifiable risk factors. We analyzed data from 34 331 African American and 9491 White adults aged 40 to 79 years recruited into the ongoing Southern Community Cohort Study. Participants were enrolled at Community health centers and had similar socioeconomic circumstances and risk factor profiles. We used logistic regression to estimate the association between race and prevalence of self-reported diabetes after considering age, SES, health insurance coverage, body mass index, physical activity, and hypertension. Several risk factors did not support higher diabetic prevalence rates among African Americans than among Whites. Our findings suggest that significant differences in diabetics prevalence between African Americans and Whites may reflect differences in established risk factors for the disease, such as SES, that typically vary according to race.

Reference:

Signorello, L. B., ScD., Schlundt, D. G., et al. (2007). Comparing diabetes prevalence between African Americans and whites of similar socioeconomic status. American Journal of Public Health, 97(12), 2260-7. https://www.proquest.com/scholarly-journals/comparing-diabetes-prevalence-between-african/docview/215092037/se-2?accountid=10003

Ebsco "type 2 diabetes or type 2 diabetes mellitus or t2dm AND impoverished or poverty or low income or poor communities."

Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus.

This search was to explore food purchasing, preparation, and consumption among black women with type 2ndiabetes Mellitus (T2DM) in an urban setting to assess barriers to medical nutrition therapy recommendations. A telephone survey was established to assess and monitor shopping habits, community resources for food supplementation, restaurant/fast-food establishments, acceptable dining habits, food purchasing and utilization, and food preparation techniques. Black women found ways in which their participation in the survey healed them to change some things culturally and implement in the change to help control diabetes, and education helped them change dietary behaviors. The most significant change included purchasing, preparation, and portion size. Culturally sensitive interventions regarding diabetes are an effective way to overcome some of the barriers to medical nutrition therapy. Comments provided by this survey suggest that identification of more affordable healthy food resources in the local community and the stores is necessary. In addition, access issues such as transportation to grocery stores should be on the agenda for public policy issues. 

Reference:

Galasso P, Amend A, Melkus GD, & Nelson GT. (2005). Barriers to medical nutrition therapy in black women with type 2 diabetes mellitus. Diabetes Educator, 31(5), 719–725.