Developing a modified diabetes education project in a global health setting
Abstract
T2DM (type 2 diabetes mellitus) is a global health challenge, with Latinos, particularly Mexicans, facing a significantly higher risk. Mexico ranks among the top ten countries in terms of T2DM prevalence, with 12.8 million adults living with the condition. In rural Mexican communities, health disparities and challenges associated with social determinants of health often impede effective T2DM management. This highlights the need for targeted interventions and research initiatives.
The project aimed to increase participants’ knowledge about T2DM management, assess their perceptions of their diagnosis and management, and distribute evidence-based dietary management information in a resource-constrained setting in Ensenada, Mexico. To assess the participants’ beliefs and perceptions about T2DM, the T2DM Empowerment Scale (DES), a questionnaire consisting of 28 items developed by the University of Michigan T2DM Research Center, was administered. Other studies have utilized the DES and it has been proven to be reliable (Cronbach’s alpha = 0.96) and valid.
Post-session, all participants felt very prepared in making healthy carbohydrate food choices. Two-thirds of the participants felt very prepared to identify sugary drinks and foods to avoid. All respondents strongly agreed that they could set meaningful goals. However, two participants identified lack of knowledge and lack of medical care access as significant barriers.
Given the enthusiastic participation of the younger population and the trend of younger onset of type 2 T2DM, future projects should consistently offer educational classes within similar communities. The project highlighted the importance of social support and hope in managing T2DM. Therefore, future studies should focus on broadening the target audience and fostering social support networks.
The project underscores the critical need for targeted T2DM interventions in Mexico, particularly in resource-constrained settings. These insights should guide future research and interventions, emphasizing the need for educational classes, fostering social support networks, and nurturing hope among similar communities. This approach could significantly improve T2DM management and health outcomes in these high-risk populations.