title: Integrative Review on Adherence in Haitians With Diabetes.
abstract: In light of a marked increase in the incidence and prevalence of diabetes in the United States in recent years with associated health costs totaling $245 billion for 2012, diabetes has become a major health and fiscal concern. Haitian Americans as a cultural group have unique obstacles to effective treatment and management of diabetes. This paper analyzes recent studies relevant to these challenges in anticipation of new research pertaining to this population. Although medication compliance is generally referred to as adherence, it is a complex concept and key challenge in diabetes care. Accordingly, this paper will further define adherence by describing its relevance in effective treatment and management. It will also analyze key theoretical perspectives in diabetes care, summarize recent research, and make recommendations for effective future research on the impact of diabetes education in Haitian Americans.
authors.affiliation: Adjunct Professor, APRN Program, Department of Nursing, Nova Southeastern University, Palm Beach Garden, FL.
authors.forename: Balkys L
authors.initials: BL
authors.lastname: Bivins
mesh_terms: D065246:Culturally Competent Care; D003920:Diabetes Mellitus / Q000208:ethnology* / Q000628:therapy; D006205:Haiti / Q000208:ethnology; D006801:Humans; D015399:Nursing Research; D009742:Nursing Theory; D010349:Patient Compliance / Q000208:ethnology* / Q000523:psychology; D014481:United States
keywords: Adherence; Haiti; Haitians; compliance; diabetes management; theories