![]() Diabetes self-management education has been shown to decrease hospital readmissions ( Healy, Black, Harris, Lorenz, & Dungan, 2013), improve hemoglobin A1C levels by as much as 1% ( Steinsbekk, Rygg, Lisulo, Rise, & Fretheim, 2012), and improve quality of life ( Cooke et al., 2013). A major emphasis of diabetes education should focus on self-management activities because of the chronic nature of the disease. Although diabetes self-management education has proven benefits for people with diabetes, only 56.8% of American adults aged 18 years and older with diagnosed diabetes participate in formal education ( Healthy, 2015). A scoping review of the prevalence of diabetes and factors affecting diabetes care in the Hmong population revealed 10 studies from 2004 to 2015, and none focused on diabetes education ( Mitchell-Brown & Newman, 2015). When addressing the needs of a small minority group such as Hmong Americans, there is danger in lumping them with Asian Americans because the data get lost in a more diverse sample for a small group who are more susceptible to diabetes than the larger group. Implication: To improve diabetes care in the Hmong population, health educators should consider the use of cultural competency, language assistance, and culturally appropriate education to achieve better clinical outcomes.Īsian Americans are often excluded from longitudinal studies, and when included, they are frequently categorized as one ( Smalkoski, Herther, & Xiong, 2010). Health care access and education should incorporate culturally appropriate strategies that could improve health outcomes for the Hmong. Discussion/Conclusion: There is a need for diabetes education in Hmong Americans. ![]() A priori elements of the Study of Access framework were confirmed. Findings: The three barriers identified are language, self-management, and stress the three facilitators are focused culturally specific education, use of media, and peer support group. ![]() Two focus group interviews were conducted among 16 participants. Method: This qualitative study employed a hybrid design to identify barriers and facilitators to diabetes education. This research sought to identify barriers and facilitators related to the diabetes education experience of Hmong Americans with type 2 diabetes, living in central California. Purpose: The prevalence of diabetes is increasing in Hmong Americans, an understudied ethnic minority group. All subjects Allied Health Cardiology & Cardiovascular Medicine Dentistry Emergency Medicine & Critical Care Endocrinology & Metabolism Environmental Science General Medicine Geriatrics Infectious Diseases Medico-legal Neurology Nursing Nutrition Obstetrics & Gynecology Oncology Orthopaedics & Sports Medicine Otolaryngology Palliative Medicine & Chronic Care Pediatrics Pharmacology & Toxicology Psychiatry & Psychology Public Health Pulmonary & Respiratory Medicine Radiology Research Methods & Evaluation Rheumatology Surgery Tropical Medicine Veterinary Medicine Cell Biology Clinical Biochemistry Environmental Science Life Sciences Neuroscience Pharmacology & Toxicology Biomedical Engineering Engineering & Computing Environmental Engineering Materials Science Anthropology & Archaeology Communication & Media Studies Criminology & Criminal Justice Cultural Studies Economics & Development Education Environmental Studies Ethnic Studies Family Studies Gender Studies Geography Gerontology & Aging Group Studies History Information Science Interpersonal Violence Language & Linguistics Law Management & Organization Studies Marketing & Hospitality Music Peace Studies & Conflict Resolution Philosophy Politics & International Relations Psychoanalysis Psychology & Counseling Public Administration Regional Studies Religion Research Methods & Evaluation Science & Society Studies Social Work & Social Policy Sociology Special Education Urban Studies & Planning BROWSE JOURNALS
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