Culturally competent interventions for Hispanic adults with type 2 diabetes: a systematic review.
Culturally competent interventions have been developed to improve outcomes for Hispanic adults with type 2 diabetes. The purpose of this systematic review is to synthesize the research on culturally competent interventions for this vulnerable population. A systematic approach was used to locate empirical reports (n = 11). Interventions were multifaceted with the majority demonstrating significant improvements in clinical outcomes, behavioral outcomes, and diabetes-related knowledge. Culturally competent interventions have the potential to improve outcomes in Hispanic adults with type 2 diabetes. However, improvements were modest and attrition was moderate to high in many studies. Addressing linguistic and cultural barriers to care are important beginnings to improving health outcomes for Hispanic adults with type 2 diabetes.
Whittemore
Robin
R
Yale School of Nursing, USA.
D000328:Adult; D001294:Attitude to Health / Q000208:ethnology; D002983:Clinical Competence / Q000592:standards; D003144:Communication Barriers; D018864:Cultural Diversity; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000451:nursing; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino / Q000193:education / Q000208:ethnology*; D006801:Humans; D008913:Minority Groups; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D013664:Teaching Materials; D016746:Transcultural Nursing / Q000458:organization & administration*; D014481:United States