Improving health empowerment related to diabetes self-care among Native Hawaiian patients at the Queen Emma Clinics
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2021
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University of Hawaii at Manoa
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Background: Diabetes mellitus (DM 2) is the most commonly diagnosed metabolic disease in the primary care setting. The rate is particularly high among Native Hawaiians (NHs). Despite their increased risk, interventions are typically based on Western populations. Interventions that are not culturally competent are less effective than those that are culturally tailored. Purpose: The purpose of this evidence-based practice (EBP) change project was to provide DM 2 health education for NH patients who attend Queen Emma Clinics (QEC) using “talk-story” and moʻolelo (storytelling) sessions with a peer support approach. Methods: This project was a five-part series of “talk-story” sessions involving one-on-one DM 2 moʻolelo health education with patients via phone once a week at QEC. Results: Six patients completed the entire program. There were three major themes expressed by patients: culturally relevant approaches to DM 2 care for NH patients, progression toward health empowerment, and influences of self-care for DM 2. Discussion: This EBP project was successful in improving health empowerment. Patients were able to identify motivators for self-care, identify challenges, and discuss coping mechanisms such as involving family members in their health. Conclusion: Storytelling and peer-to-peer conversational style sessions are effective ways to promote health empowerment among NH patients and ultimately promote positive lifestyle adaptations for NH DM2 patients. Implications: This approach helps clinicians understand key motivators for their patients, helps build rapport between patients and providers and helps patients reflect on the active role they play in their health.
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Hawaii
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