Diabetes Educator
Volume 36, Issue 5, 2010, Pages 752-760

Translating current dietary guidelines into a culturally tailored nutrition education program for Korean American immigrants with type 2 diabetes (Article)

Song H.-J.* , Han H.-R. , Lee J.-E. , Kim J. , Kim K.B. , Nguyen T. , Kim M.T.
  • a Department of Health Systems and Outcomes, School of Nursing, Johns Hopkins University, 525 North Wolfe St, Baltimore, MD 21205, United States
  • b Department of Health Systems and Outcomes, School of Nursing, Johns Hopkins University, 525 North Wolfe St, Baltimore, MD 21205, United States
  • c College of Nursing, Catholic University of Korea, Seoul, South Korea
  • d Department of Nursing, Kyungwon University, Seongnam, South Korea
  • e Korean Resource Center, Ellicott City, MA, United States
  • f Department of Health Systems and Outcomes, School of Nursing, Johns Hopkins University, 525 North Wolfe St, Baltimore, MD 21205, United States
  • g Department of Health Systems and Outcomes, School of Nursing, Johns Hopkins University, 525 North Wolfe St, Baltimore, MD 21205, United States

Abstract

Purpose The purpose of this article is to describe the process of translating evidence-based dietary guidelines into a tailored nutrition education program for Korean American immigrants (KAI) with type 2 diabetes mellitus (DM). Methods Community-based participatory research (CBPR) is a research process involving researchers and communities to build a collaborative partnership. The study was conducted at a community-based organization. In a total of 79 KAI (intervention, n = 40; control, n = 39) with uncontrolled type 2 DM (A1C ≥7.5%), 44.3% were female and the mean age was 56.5 ± 7.9 years. A culturally tailored nutrition education was developed by identifying community needs and evaluating research evidence. The efficacy and acceptability of the program was assessed. Results In translating dietary guidelines into a culturally relevant nutrition education, culturally tailored dietary recommendations and education instruments were used. While dietary guidelines from the American Diabetes Association (ADA) were used to frame nutrition recommendations, additional content was adopted from the Korean Diabetes Association (KDA) guidelines. Culturally relevant intervention materials, such as Korean food models and an individually tailored serving table, were utilized to solidify nutritional concepts as well as to facilitate meal planning. Evaluation of the education revealed significantly increased DM-specific nutrition knowledge in the intervention group. The participants' satisfaction with the education was 9.7 on a 0 to10-point scale. Conclusion The systematic translation approach was useful for producing a culturally tailored nutrition education program for KAI. The program was effective in improving the participants' DM-specific nutrition knowledge and yielded a high level of satisfaction. Future research is warranted to determine the effect of a culturally tailored nutrition education on other clinical outcomes. © 2010 The Author(s).

Author Keywords

[No Keywords available]

Index Keywords

South Korea Republic of Korea non insulin dependent diabetes mellitus Diabetes Mellitus, Type 2 human middle aged Aged Nutrition Assessment nutritional assessment language Patient Education as Topic United States Humans male Emigrants and Immigrants female diabetic diet patient education Article Translating migration standard diet therapy

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-78649354044&doi=10.1177%2f0145721710376328&partnerID=40&md5=58c1155bb8f82f5fe27c2f68faa2bb1e

DOI: 10.1177/0145721710376328
ISSN: 01457217
Cited by: 19
Original Language: English