title: The Impact of Arab American Culture on Diabetes Self-management Education.
abstract: The purpose of this study was to better understand barriers and facilitators of diabetes self-management education (DSME) among Arab American patients with diabetes. Little is known about the impact of Arab culture on DSME.
  
  
  
  Arab American adults (N = 23) with medically managed diabetes participated in 1 of 3 focus groups. An Arabic-speaking, trained moderator conducted video-recorded sessions. Verbatim Arabic transcripts were translated into English. Transcripts underwent a qualitative content analysis approach.
  
  
  
  Arab American cultural traditions such as food sharing, religious beliefs, and gender roles both facilitated and at times impeded DSME. Patients also held conflicting views about their interactions with their providers; some participants praised the authoritative patient-physician relationship style while others perceived the gaps in communication to be a product of Arab culture. Participants expressed that lack of available educational and supportive resources are key barriers to DSME.
  
  
  
  Arab American culture affects DSM activities, and culturally sensitive educational resources are lacking. Development of DSME programs tailored to address relevant aspects of Arab culture might improve DSME outcomes in Arab American population.
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Bertran
authors.affiliation: Institute of Gerontology, Wayne State University, Detroit, Michigan (Dr Fritz)
authors.forename: Heather
authors.initials: H
authors.lastname: Fritz
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Malak
authors.initials: M
authors.lastname: Abbas
authors.affiliation: Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI (Dr Tarakji, Dr Arnetz)
authors.forename: Sandra
authors.initials: S
authors.lastname: Tarakji
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Rosanne
authors.initials: R
authors.lastname: DiZazzo-Miller
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Fredrick D
authors.initials: FD
authors.lastname: Pociask
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Catherine L
authors.initials: CL
authors.lastname: Lysack
authors.affiliation: Department of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI (Dr Tarakji, Dr Arnetz)
authors.forename: Judith
authors.initials: J
authors.lastname: Arnetz
authors.affiliation: Eugene Applebaum College of Pharmacy and Health Sciences, Department of Pharmacy Practice, Wayne State University, Detroit, Michigan (Dr Bertran, Miss Abbas, Dr DiZazzo-Miller, Dr Pociask, Dr Lysack, Dr Jaber)
authors.forename: Linda A
authors.initials: LA
authors.lastname: Jaber
mesh_terms: D018912:Arabs / Q000523:psychology*; D003142:Communication; D003469:Culture; D003920:Diabetes Mellitus / Q000208:ethnology / Q000523:psychology*; D003927:Diet, Diabetic / Q000523:psychology; D005260:Female; D017144:Focus Groups; D005783:Gender Identity; D006801:Humans; D007861:Lebanon / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010817:Physician-Patient Relations; D036301:Qualitative Research; D012067:Religion; D012648:Self Care / Q000523:psychology*; D014481:United States; D015006:Yemen / Q000208:ethnology