“It feels good to know that someone cares”: Latino patients' life experiences influence motivations for attending a diabetes health education class
Methods: 19 Latino patients from the class (63% female, mean age 54, 58% <HS education, 37% uninsured) participated in 7 focus groups conducted in Spanish. Discussions were audiorecorded, transcribed, and translated. Transcripts were content coded by two coders to create a thematic coding scheme.
Results: Four main themes emerged as motivations for attendance: (1) desire to “do better” because of family experience with death/complications from diabetes; (2) access to free information, some stated they were unable to get information elsewhere or didn’t get enough information from personal doctor; (3) a way of feeling control: many struggled with blood glucose and dietary changes because of limited financial resources to purchase healthy foods and eating traditional meals focused on meats, tortillas, and bread; (4) peer social support: group setting offered informal emotional support (“injection of energy”, “gives life meaning”), informational support (sharing stories, recipes), a space to seek non-family support because some felt uncomfortable discussing diabetes with family or live with family who don’t support lifestyle changes.
Conclusion: Findings contribute “thick descriptions” of how real-life experiences contribute to the perceived value of a diabetes education class. Gaining diabetes self-management knowledge only partly explains the perceived value of classes. Practice implications will be discussed.
Learning Areas:Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Describe diabetic patients’ motivations for attending a diabetes education class; Describe ways in which patients’ life experiences can influence motivations for attendance; Discuss the way in which understanding patients’ life contexts can lead to the development of more relevant content and effective strategies for class recruitment and retention.
Keyword(s): Diabetes, Chronic Disease Management and Care
Qualified on the content I am responsible for because: I have presented and published on projects using qualitative and quantitative methodologies. I have been the PI of grants focusing on diabetes management behaviors among Latino patients as well as other issues relevant to older adults.
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.