226457 Developing culture-based health education for indigenous and immigrant populations

Monday, November 8, 2010

Jacqueline Ng-Osorio, MPH , Research and Evaluation, Kamehameha Schools, Honolulu, HI
Mele A. Look, MBA , Department of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI
Background: Health Education has traditionally used social cognitive behavioral change strategies to modify behaviors. Culture Based Education (CBE) is a method that goes beyond using psychology to change behaviors rather making the material culturally relevant to the students or patients. This approach is a well established educational framework that has been shown effective with indigenous and other populations. Diabetes 101, a 4-hour seminar taught to Community Health Workers utilized the culture based education framework by integrating cultural components into the curriculum and teaching strategies. Methods: Culture Based Education has five basic elements (adapted from Kanaiaupuni, 2007): 1) language recognizing and using native or heritage language, 2) family and community actively involving the community in the development of curriculum, 3) context structuring the pedagogy in culturally-appropriate ways , 4) content culturally grounded content and 5) data and accountability The theoretical model that is utilized in Diabetes 101 has culture based education feeding into both socio-emotional development and health outcomes, illustrating the positive impact that CBE has on both. Results: The results of the pre- and post-diabetes knowledge test students demonstrated a statistically significant gain in diabetes knowledge. Overall there was a statistically significant improvement in mean test score of 1.92 (P<0.0001), a 20.97% increase Conclusion: By incorporating culturally relevant methodologies of teaching the Diabetes 101 curriculum provided students the knowledge and tools needed to deliver diabetes education to their communities.

Learning Areas:
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
1. Describe how culture-based education framework can be incorporated into health education curriculum. 2. Discuss the benefits of utilizing culture-based education with indigenous and immigrant populations.

Keywords: Cultural Competency, Community Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I created the Diabetes 101 curriculum and involved in educational research.
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.