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Not Scared of Sugar™: Outcomes of a structured type 2 diabetes group education program for Chinese Australians
Author(s) -
Kellow Nicole J.,
Palermo Claire,
Choi Tammie ST
Publication year - 2020
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/hsc.13046
Subject(s) - facilitator , medicine , type 2 diabetes , waist , diabetes mellitus , population , gerontology , physical therapy , family medicine , obesity , psychology , environmental health , endocrinology , social psychology
Type 2 diabetes disproportionately affects the Chinese population yet there are no structured diabetes education programs specifically designed for this community in Australia. This project aimed to develop and evaluate a pilot type 2 diabetes group education program designed specifically for Chinese migrants living in Australia. A non‐randomised pre‐ versus post‐intervention trial was conducted between March 2017 and November 2018. A culturally tailored group education program (Not Scared of Sugar™) was developed and piloted with Melbourne‐based Cantonese‐speaking people with type 2 diabetes. Program teaching styles were aligned with the Confucian cultural process of learning and incorporated culturally specific strategies to promote healthy behaviour change. Thirty‐four individuals (35% male) attended five education sessions over ten weeks, delivered by a Cantonese‐speaking facilitator and multidisciplinary clinicians. Data were collected from participants at baseline, on program completion and at 6 months follow‐up. Mean ( SD ) participant age was 69 (9) years, with a mean time of 25.7 (10.8) years in Australia and a median duration of diabetes of 10 (IQR = 2.8–20.5) years. At program completion, mean participant waist circumference (90.5 versus 89.2 cm, p  < .001) and waist‐to‐height ratio (0.574 vs. 0.566, p  < .001) was significantly reduced and both were further reduced at 6‐month follow‐up ( p  < .05). There was a significant increase in the median frequency of diabetes self‐care behaviours undertaken, with American Association of Diabetes Educators Questionnaire Score: 30 (22–32.3) versus 33 (29.8–35.0), p  < .001 at 6‐month follow‐up. Diabetes‐related distress assessed by PAID‐C was also significantly reduced at 6‐month follow‐up ( p  < .05). Mean HbA1c was unchanged after 6 months; 51 (7.9) versus 50 (7.8) mmol/mol, p  = .316. Program attrition was 6%. Not Scared of Sugar™ successfully reduced waist circumference, increased diabetes self‐management behaviours and reduced diabetes distress in Cantonese‐speaking Australians, which may positively impact long‐term risk of vascular complications.

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