Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders

Meng-Jung Wen, Martha Maurer, Luke Schwerer, Nassim Sarkarati, Ugboaku Maryann Egbujor, Jenna Nordin, Sharon D. Williams, Yao Liu and Olayinka O. Shiyanbola ()
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Meng-Jung Wen: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Martha Maurer: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Luke Schwerer: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Nassim Sarkarati: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Ugboaku Maryann Egbujor: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Jenna Nordin: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA
Sharon D. Williams: School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA
Yao Liu: School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA
Olayinka O. Shiyanbola: School of Pharmacy, University of Wisconsin, Madison, WI 53705, USA

IJERPH, 2022, vol. 19, issue 19, 1-15

Abstract: Background: There is an urgent need for culturally tailored diabetes self-management education to improve health outcomes in African Americans, especially given the disproportionate prevalence of diabetes and medication non-adherence. Stakeholder engagement can guide and enrich the development of these interventions by integrating content directly addressing barriers to African Americans’ adherence with existing community-based diabetes self-management education programs. The aim of this study is to explore stakeholder perspectives on a novel culturally tailored diabetes self-management program for African Americans. Methods: Thirteen semi-structured individual interviews were conducted in a large Midwestern U.S. city with healthcare professionals and organizational leaders serving African American communities and/or providing diabetes education. Transcripts were analyzed using directed content analysis with the Consolidated Framework for Implementation Research and inductive content analysis. Results: Five overarching themes were identified: (1) fulfill needs among stakeholders, (2) creating a supportive and trusting environment to address distrust, (3) building relationships and empowering peers, (4) logistical organization barriers to program implementation and (5) challenges to program acceptance by participants. Conclusion: Stakeholders delineated how the new culturally tailored diabetes self-management program aligned with the needs of African American patients. Perceived challenges and corresponding strategies to address barriers to participation were identified to inform program implementation and sustainability.

Keywords: African Americans; diabetes; self-management; peer support; stakeholder engagement (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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