title: A Culturally Appropriate Self-Management Program for Hispanic Adults With Type 2 Diabetes and Low Health Literacy Skills.
abstract: This study assessed the feasibility of adapting a patient-centered educational intervention for type 2 diabetes (T2D) self-management for a Hispanic population with low health literacy skills.
  
  
  
  A descriptive qualitative study design and phenomenological analyses were used. Nine Hispanic adults with T2D recruited from a rural community health center participated in an educational program that instructed on low glycemic food choices, meaningful glucose self-monitoring, and physical activity to decrease blood glucose spikes. Participants' feedback was recorded during four 2-hour focus group sessions. Findings/Results: Participants' feedback clustered around four themes: information and knowledge, motivation and barriers to change, experiences with new behaviors, and personal responsibility.
  
  
  
  Data support the feasibility of adapting an established health-enhancing approach for promoting self-management of T2D to a low health literacy Spanish-speaking population.
  
  
  
  The findings may help in further development of tools and strategies for improved T2D self-management in the study population.
authors.affiliation: 1 University of Virginia, Charlottesville, VA, USA.
authors.forename: Debra R
authors.initials: DR
authors.lastname: Brunk
authors.affiliation: 1 University of Virginia, Charlottesville, VA, USA.
authors.forename: Ann Gill
authors.initials: AG
authors.lastname: Taylor
authors.affiliation: 2 University of North Georgia, Dahlonega, GA, USA.
authors.forename: Myra L
authors.initials: ML
authors.lastname: Clark
authors.affiliation: 1 University of Virginia, Charlottesville, VA, USA.
authors.forename: Ishan C
authors.initials: IC
authors.lastname: Williams
authors.affiliation: 1 University of Virginia, Charlottesville, VA, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Cox
mesh_terms: D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring / Q000295:instrumentation / Q000379:methods; D065246:Culturally Competent Care / Q000208:ethnology / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy / Q000379:methods / Q000592:standards*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D016730:Program Development; D036301:Qualitative Research; D040242:Risk Reduction Behavior; D012424:Rural Population; D012648:Self Care / Q000379:methods*; D011795:Surveys and Questionnaires; D014481:United States / Q000208:ethnology
keywords: Hispanic adults; blood glucose self-monitoring; diabetes self-management education; glycemic load; health literacy; type 2 diabetes