178925 Diabetes Interventions with Asian and Pacific Islander Immigrant Communities of Seattle and King County, Washington: Lessons Learned from a Community Health Center

Monday, October 27, 2008

Michael B. McKee, MEd , Health Education Services, International Community Health Services, Seattle, WA
Abbie Zahler, MID , Health Education Services, International Community Health Services, Seattle, WA
This presentation describes the challenges and successes of providing culturally and linguistically appropriate diabetes education, support and self-management interventions in the Asian and Pacific Islander (API) communities of Seattle & King County, Washington.

International Community Health Services (ICHS) is a nonprofit community health center offering affordable medical, dental, and health education services to a predominantly refugee and immigrant population, 85% of whom are API, of which 75% are limited English Proficient. The Diabetes Education Program provides individual sessions within clinic, as well as group level and community education activities for the following communities: Chinese, Filipino, Samoan, and Vietnamese.

Through collaboration with Public Health Seattle and King County and other community health organizations, ICHS developed and implemented a program with funding from the CDC's Racial and Ethnic Approaches to Community Health Program. More than 1000 unduplicated participants have participated in the group level program at ICHS and there is solid data from each intervention detailing that the daily behavior of participants has changed.

Lessons learned include: cross-training existing staff on diabetes education proved extremely beneficial and effective in retaining dedicated and qualified people; acknowledging traditional forms of medicine and having an understanding of their use and importance is crucial; including the diabetes education program in the federally funded health disparities collaborative at the clinic ensured staff and Provider support; finally collaboration is important, not only with other community agencies, but also amongst the diabetes education staff. An open atmosphere where staff can discuss challenges, ask questions, and offer suggestions is crucial.

Learning Objectives:
Participants will learn three strategies used to create a culturally competent diabetes education program in a clinic or community based organization. Participants will have a clear understanding of three challenges faced while creating a diabetes education program for a diverse API immigrant population. Participants will learn three strategies to overcome community and institutional barriers to implementing diabetes education.

Keywords: Diabetes, Asian and Pacific Islander

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I manage and supervise this program in my place of employment.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.