title: Immigrant community leaders identify four dimensions of trust for culturally appropriate diabetes education and care.
abstract: This paper explores immigrant community leaders' perspectives on culturally appropriate diabetes education and care. We conducted exploratory workshops followed by focus groups with Punjabi, Nepali, Somali, and Latin American immigrant communities in Ottawa, Ontario. We used the constant comparative method of grounded theory to explore issues of trust and its impact on access and effectiveness of care. Detailed inquiry revealed the cross cutting theme of trust at the "entry" level and in relation to "accuracy" of diabetes information, as well as the influence of trust on personal "privacy" and on the "uptake" of recommendations. These four dimensions of trust stood out among immigrant community leaders: entry level, accuracy level, privacy level, and intervention level and were considered important attributes of culturally appropriate diabetes education and care. These dimensions of trust may promote trust at the patient-practitioner level and also may help build trust in the health care system.
authors.affiliation: Institute of Population Health, University of Ottawa, 1 Stewart Street, Room 231, Ottawa, ON, K1N 6N5, Canada, gdahal@uottawa.ca.
authors.forename: Govinda
authors.initials: G
authors.lastname: Dahal
authors.forename: Adnan
authors.initials: A
authors.lastname: Qayyum
authors.forename: Mariella
authors.initials: M
authors.lastname: Ferreyra
authors.forename: Hussein
authors.initials: H
authors.lastname: Kassim
authors.forename: Kevin
authors.initials: K
authors.lastname: Pottie
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D054521:Cultural Competency / Q000523:psychology; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D017144:Focus Groups; D006801:Humans; D007194:India / Q000208:ethnology; D007843:Latin America / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009390:Nepal / Q000208:ethnology; D009864:Ontario; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D012998:Somalia / Q000208:ethnology; D035502:Trust / Q000523:psychology; D055815:Young Adult