Duhaney, Michelle

Background: The prevalence of Type 2 diabetes is substantially significant in the United States and has been this way for several years. Diabetes is a complex, chronic disease that, without proper control, may result in avoidable complications. Once the diagnosis of diabetes is made, it is critical to establish clear treatment goals on increasing knowledge, self-efficacy and enhancing self-care. Implementing a program that supports self-care strategies for adults with diabetes to help achieve optimal health outcomes. For US adults aged 18 years or older the prevalence of diagnosed diabetes in non-Hispanic blacks is 12.1% which is the second highest (CDC,2019).
Purpose: The purpose of this study is to determine if a PowerPoint presentation in Haitian Creole on diabetes self-management will improve self-efficacy, diabetes knowledge and management among Haitian patients with type 2 diabetes.
Methods: In this pre‐post prospective design study, 13 participants with type 2 diabetes recruited from a primary care clinic in Boca Raton, FL were asked to complete a survey called the Diabetes Self‐Management Questionnaire (DSMQ), after which they attended a face‐to‐face or virtual PowerPoint presentation done in Haitian Creole with an optional 1‐hour discussion session. Following the class, they completed the same self‐management questionnaire with 2 additional investigator‐developed questions regarding class benefit.
Results: Paired sample t tests were performed to compare the pretest to posttest scores on the DSMQ questionnaire which showed statistically significant improvement.
Conclusion: The study found a perceived benefit in a self-management educational class in Haitian Creole for Haitian patients with type 2 diabetes.

In the primary care setting, management of hypertension is the most common reason
for office visits (Basile & Bloch, 2020). Uncontrolled hypertension accounts for 76% of
persons with hypertension (CDC, 2020). This quality improvement (QI) project was
conducted to improve medication adherence through education and self-management support
in the management of chronic hypertension in a private family practice site in southeast
Florida. The project addressed this by utilizing the Health Literacy Universal Precautions
Toolkit, 2nd Edition (Agency for Healthcare Research and Quality [AHRQ], 2015a) to frame
evidence-based interventions. UpToDate (Basile & Bloch, 2020) was utilized to provide
patient education materials on hypertension, patient specific medications and home blood
pressure monitoring. The conceptual framework was guided by the Health Literate Care
Model (HLCM) (Koh et al., 2013a) systems approach scaffolded with Orem’s Self-Care
Deficit Nursing Theory and underpinned with the Theory of Nursing as Caring.