Making diabetes education accessible for people with visual impairment.
OBJECTIVE
The purpose of this study was to identify changes needed to make the diabetes education materials and programs of the Diabetes Association of Greater Cleveland (DAGC) accessible for people who have visual impairment and diabetes (PVID).


METHODS
Using the principles and techniques of participatory action research (PAR), 5 PVID and 4 staff members of a local diabetes association met once a month for a year to plan, implement, and evaluate progress toward full accessibility of all diabetes education materials and programs. The researcher served as facilitator.


RESULTS
Four "transformational moments" are presented through which the PAR process enabled PVID and diabetes professionals to learn to understand and trust each other. Changes made to increase accessibility included production of 2 recordings for providing access to print information about diabetes; planning public education program publicity and locations for access; development of guidelines to help speakers make their diabetes education presentations accessible for people who cannot see slides and gestures; and presentation of an inservice for the entire staff of the diabetes association, including information about how they live with visual impairment, and common courtesies that make communication with PVID more effective.


CONCLUSIONS
Diabetes education programs should include planning for full accessibility for PVID. Diabetes organizations should publish teaching materials in accessible format.
Diabetes Education Associates, Cleveland, Ohio, USA. asw13@case.edu
Ann S
AS
Williams
D003695:Delivery of Health Care; D003920:Diabetes Mellitus / Q000534:rehabilitation*; D003925:Diabetic Angiopathies / Q000503:physiopathology* / Q000534:rehabilitation; D006285:Health Planning / Q000379:methods; D006297:Health Services Accessibility / Q000458:organization & administration*; D006801:Humans; D010353:Patient Education as Topic; D015354:Vision, Low / Q000150:complications* / Q000534:rehabilitation