208675 Communicating culturally and linguistically appropriate diabetes information: Dulce New Jersey diabetes disease management program

Wednesday, November 11, 2009: 12:30 PM

Jennifer Barrett Sryfi, MHA , Director, Community Programs - Research Department, New Jersey Hospital Association, Princeton, NJ
Firoozeh Molaparast Vali, PhD , Vice President, Research, New Jersey Hospital Association/HRET, Princeton, NJ
The Dulce New Jersey project was designed to help New Jersey hospitals close the gap in diabetes care for minorities by, among other strategies, providing linguistically and culturally appropriate diabetes education and improving the communication between clinical care providers and the patient. This two-year demonstration project is aimed at improving the health outcomes of New Jersey minorities with diabetes, particularly Hispanics/Latinos and African Americans, who have traditionally exhibited poor diabetes management and outcomes and are at high risk for disease complications. The project modified and uses a “Project Dulce” model originally developed in California; it has been piloted in three New Jersey hospitals with primary care clinics and ADA-recognized diabetes education programs. The model employs complementary strategies of nurse-managed clinical care and community-based health education/promotion. The health education is provided by trained peer educators who lead culturally and linguistically appropriate eight-week education courses for individuals with diabetes from the same community, using a curriculum that promotes healthy lifestyles, provides culturally relevant health and nutrition tips and addresses cultural beliefs in ineffective remedies. The materials provided use universal pictorial images with text available in the patient's primary language. Peer educators also follow up with patients, to ensure their compliance with appointments and self-care regimens, and provide support with understanding and communicating with providers. Long-term plans are underway to expand to additional sites, promote further replication of the model throughout New Jersey and establish a regular training program relying on previously trained nurses and educators to share their knowledge.

Learning Objectives:
At the conclusion of the session, the participants will be able to: 1) Explain the unique communication issues and barriers to care facing Hispanic and African American patients with diabetes; 2) Describe the Project Dulce model’s linguistically and culturally appropriate health education and health promotion services; 3) Describe the Project Dulce model’s use of non-verbal health communication for diabetes education; and, 4) Explain the benefit of tailoring clinical services, educational programs, resources and services to the unique communication needs of minority patients.

Keywords: Diabetes, Health Education Strategies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am trained in healthcare adminstration and worked in health services research and education for many years.
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.