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Integrating Diabetes Self-Management Interventions for Mexican-Americans into the Catholic Church Setting

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Abstract

Churches provide an innovative and underutilized setting for diabetes self-management programs for Latinos. This study sought to formulate a conceptual framework for designing church-based programs that are tailored to the needs of the Latino community and that utilize church strengths and resources. To inform this model, we conducted six focus groups with mostly Mexican-American Catholic adults with diabetes and their family members (N = 37) and found that participants were interested in church-based diabetes programs that emphasized information sharing, skills building, and social networking. Our model demonstrates that many of these requested components can be integrated into the current structure and function of the church. However, additional mechanisms to facilitate access to medical care may be necessary to support community members’ diabetes care.

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References

  • Anderson, R. M. (1995). Patient empowerment and the traditional medical model. A case of irreconcilable differences? Diabetes Care, 18(3), 412–415.

    CAS  PubMed  Google Scholar 

  • Anderson, R. M., Funnell, M. M., Butler, P. M., Arnold, M. S., Fitzgerald, J. T., & Feste, C. C. (1995). Patient empowerment. Results of a randomized controlled trial. Diabetes Care, 18(7), 943–949.

    Article  CAS  PubMed  Google Scholar 

  • Baig, A. A., Mangione, C. M., Sorrell-Thompson, A. L., & Miranda, J. M. (2010). A randomized community-based intervention trial comparing faith community nurse referrals to telephone-assisted physician appointments for health fair participants with elevated blood pressure. Journal of General Internal Medicine, 25(7), 701–709.

    Article  PubMed Central  PubMed  Google Scholar 

  • Baruth, M., Wilcox, S., Laken, M., Bopp, M., & Saunders, R. (2008). Implementation of a faith-based physical activity intervention: Insights from church health directors. Journal of Community Health, 33(5), 304–312.

    Article  PubMed  Google Scholar 

  • Brown, S. A., & Hanis, C. L. (1999). Culturally competent diabetes education for Mexican Americans: The Starr County Study. Diabetes Educator, 25(2), 226–236.

    Article  CAS  PubMed  Google Scholar 

  • Caban, A., & Walker, E. A. (2006). A systematic review of research on culturally relevant issues for Hispanics with diabetes. Diabetes Educator, 32(4), 584–595.

    Article  PubMed  Google Scholar 

  • Castro, F. G., Elder, J., Coe, K., et al. (1995). Mobilizing churches for health promotion in Latino communities: Companeros en la Salud. Journal of National Cancer Institute Monographs, 18, 127–135.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2011). National diabetes fact sheet: National estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

  • Chase-Ziolek, M. (1999). The meaning and experience of health ministry within the culture of a congregation with a parish nurse. Journal of Transcultural Nursing, 10(1), 46–55.

    Article  CAS  PubMed  Google Scholar 

  • Chicago Department of Public Health. (2006). Chicago community health profile: South Lawndale. Chicago, IL: Chicago Department of Public Health.

    Google Scholar 

  • Cusi, K., & Ocampo, G. L. (2011). Unmet needs in hispanic/latino patients with type 2 diabetes mellitus. American Journal of Medicine, 124(10 Suppl), S2–S9.

    Article  PubMed  Google Scholar 

  • Daniels, N. A., Juarbe, T., Moreno-John, G., & Perez-Stable, E. J. (2007). Effectiveness of adult vaccination programs in faith-based organizations. Ethnicity and Disease, 17(1 Suppl 1), S15–S22.

    PubMed  Google Scholar 

  • DeHaven, M. J., Hunter, I. B., Wilder, L., Walton, J. W., & Berry, J. (2004). Health programs in faith-based organizations: Are they effective? American Journal of Public Health, 94(6), 1030–1036.

    Article  PubMed  Google Scholar 

  • Dodani, S., & Fields, J. Z. (2010). Implementation of the fit body and soul, a church-based life style program for diabetes prevention in high-risk African Americans: A feasibility study. Diabetes Educator, 36(3), 465–472.

    Article  CAS  PubMed  Google Scholar 

  • Duan, N., Fox, S., Derose, K. P., Carson, S., & Stockdale, S. (2005). Identifying churches for community-based mammography promotion: lessons from the LAMP study. Health Education and Behavior, 32(4), 536–548.

    Article  PubMed  Google Scholar 

  • Dyess, S., Chase, S. K., & Newlin, K. (2010). State of research for faith community nursing 2009. Journal of Religion and Health, 49(2), 188–199.

    Article  PubMed  Google Scholar 

  • Eisenberg, D. M., Kessler, R. C., Van Rompay, M. I., et al. (2001). Perceptions about complementary therapies relative to conventional therapies among adults who use both: Results from a national survey. Annals of Internal Medicine, 135(5), 344–351.

    Article  CAS  PubMed  Google Scholar 

  • Fernandez, A., Schillinger, D., Grumbach, K., et al. (2004). Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients. Journal of General Internal Medicine, 19(2), 167–174.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gary, T. L., Narayan, K. M., Gregg, E. W., Beckles, G. L., & Saaddine, J. B. (2003). Racial/ethnic differences in the healthcare experience (coverage, utilization, and satisfaction) of US adults with diabetes. Ethnicity and Disease, 13(1), 47–54.

    PubMed  Google Scholar 

  • Giachello, A. L., Arrom, J. O., Davis, M., et al. (2003). Reducing diabetes health disparities through community-based participatory action research: The Chicago Southeast Diabetes Community Action Coalition. Public Health Reports, 118(4), 309–323.

    PubMed Central  PubMed  Google Scholar 

  • Gorawara-Bhat, R., Huang, E. S., & Chin, M. H. (2008). Communicating with older diabetes patients: Self-management and social comparison. Patient Education and Counseling, 72(3), 411–417.

    Article  PubMed Central  PubMed  Google Scholar 

  • Humes, K. R., Jones, N. A., & Ramirez, R. R. (2011) Overview of race and hispanic origin: 2010. 2010 Census briefs. Washington, DC: U.S. Census Bureau.

  • Hunt, L. M., Arar, N. H., & Akana, L. L. (2000). Herbs, prayer, and insulin. Use of medical and alternative treatments by a group of Mexican American diabetes patients. Journal of Family Practice, 49(3), 216–223.

    CAS  PubMed  Google Scholar 

  • Institute of Medicine. (2000). Promoting health: Intervention strategies from social and behavioral research. Washington, DC: National Academy Press.

    Google Scholar 

  • Israel, B. A., Eng, E., Schulz, A. J., & Parker, E. A. (Eds.). (2005). Methods in community-based participatory research for health (pp. 31–51). San Francisco, CA: Jossey-Bass.

  • Jones, L., & Wells, K. (2007). Strategies for academic and clinician engagement in community-participatory partnered research. JAMA, 297(4), 407–410.

    Article  CAS  PubMed  Google Scholar 

  • Jurkowski, J. M., Kurlanska, C., & Ramos, B. M. (2010). Latino women’s spiritual beliefs related to health. American Journal of Health Promotion, 25(1), 19–25.

    Article  PubMed  Google Scholar 

  • Kataoka, S. H., Fuentes, S., O’Donoghue, V. P., et al. (2006). A community participatory research partnership: The development of a faith-based intervention for children exposed to violence. Ethnicity and Disease, 16(1 Suppl 1), S89–S97.

    PubMed  Google Scholar 

  • Lasater, T. M., Becker, D. M., Hill, M. N., & Gans, K. M. (1997). Synthesis of findings and issues from religious-based cardiovascular disease prevention trials. Annals of Epidemiology, 7(7), S46–S53.

    Article  Google Scholar 

  • Lopez, V. A., & Castro, F. G. (2006). Participation and program outcomes in a church-based cancer prevention program for Hispanic women. Journal of Community Health, 31(4), 343–362.

    Article  PubMed  Google Scholar 

  • Minkler, M., & Wallerstein, N. (2003). Community-based participatory research for health (pp. 53–76). San Francisco, CA: Jossey-Bass.

    Google Scholar 

  • Morgan, D. (1997). Focus groups as qualitative research (2nd ed.). London: Sage.

    Google Scholar 

  • Morse, J. (1995). The significance of saturation. Qualitative Health Research, 5, 147–149.

    Article  Google Scholar 

  • National Institute of Diabetes and Digestive and Kidney Diseases. (2008). National diabetes statistics, 2007 fact sheet. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health.

  • Norris, S. L., Nichols, P. J., Caspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack, L., et al. (2002). Increasing diabetes self-management education in community settings. A systematic review. American Journal of Preventive Medicine, 22(4 Suppl), 39–66.

    Google Scholar 

  • Peek, M. E., Cargill, A., & Huang, E. S. (2007). Diabetes health disparities: A systematic review of health care interventions. Medical Care Research and Review, 64(5 Suppl), 101S–156S.

    Google Scholar 

  • Pew Forum on Religion and Public Life. U.S. Religious Landscape Survey. (2008). The stronger sex—Spiritually speaking. Accessed January 9, 2012. http://www.pewforum.org/The-Stronger-Sex—Spiritually-Speaking.aspx.

  • Pew Hispanic Center and Pew Forum on Religion & Public Life. (2007). Changing faiths: Latinos and the transformation of American Religion. Accessed May 13, 2011. http://pewhispanic.org/reports/report.php?ReportID=75.

  • Ramirez, A. G., Chalela, P., Gallion, K., & Velez, L. F. (2007). Energy balance feasibility study for Latinas in Texas: A qualitative assessment. Preventing Chronic Diseases, 4(4), A98.

    Google Scholar 

  • Reyes-Ortiz, C. A., Rodriguez, M., & Markides, K. S. (2009). The role of spirituality healing with perceptions of the medical encounter among Latinos. Journal of General Internal Medicine, 24(Suppl 3), 542–547.

    Article  PubMed Central  PubMed  Google Scholar 

  • Sarkisian, C. A., Brusuelas, R. J., Steers, W. N., et al. (2005). Using focus groups of older African Americans and Latinos with diabetes to modify a self-care empowerment intervention. Ethnicity and Disease, 15(2), 283–291.

    PubMed  Google Scholar 

  • Saydah, S., Cowie, C., Eberhardt, M. S., De Rekeneire, N., & Narayan, K. M. (2007). Race and ethnic differences in glycemic control among adults with diagnosed diabetes in the United States. Ethnicity and Disease, 17(3), 529–535.

    PubMed  Google Scholar 

  • Strauss, A., & Corbin, L. (1991). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: Sage Publications, Inc.

    Google Scholar 

  • Tunis, S. R., Stryer, D. B., & Clancy, C. M. (2003). Practical clinical trials: Increasing the value of clinical research for decision making in clinical and health policy. JAMA, 290(12), 1624–1632.

    Article  CAS  PubMed  Google Scholar 

  • United States Census Bureau. (2011). 2010 Census shows America’s diversity. Accessed May 18, 2011. http://2010.census.gov/news/releases/operations/cb11-cn125.html.

  • U.S. Census. (2000). Record information services. Accessed May 18, 2011.

  • Viswanathan, M., Ammerman, A., Eng, E., Garlehner, G., Lohr, K. N., Griffith, D., et al. (2004, July). Community-based participatory research: Assessing the evidence. Rockville, MD: Agency for Healthcare Research and Quality. Publication 04-E022-2.

  • Wilcox, S., Laken, M., Bopp, M., et al. (2007). Increasing physical activity among church members: Community-based participatory research. American Journal of Preventive Medicine, 32(2), 131–138.

    Article  PubMed  Google Scholar 

  • Wong, M. D., Shapiro, M. F., Boscardin, W. J., & Ettner, S. L. (2002). Contribution of major diseases to disparities in mortality. New England Journal of Medicine, 347(20), 1585–1592.

    Article  PubMed  Google Scholar 

  • Zahuranec, D. B., Morgenstern, L. B., Garcia, N. M., et al. (2008). Stroke health and risk education (SHARE) pilot project: Feasibility and need for church-based stroke health promotion in a bi-ethnic community. Stroke, 39(5), 1583–1585.

    Article  PubMed  Google Scholar 

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Acknowledgments

The authors thank their partnering churches for their support to this project and the members of the University of Chicago Diabetes Research and Training Center for reviewing an early draft of this paper. This research was supported by grants from University of Chicago Clinical and Translational Science Award (UL1RR024999) and the National Institute of Diabetes and Digestive and Kidney Diseases Diabetes Research and Training Center (P60 DK20595). Dr. Baig is supported by an NIDDK Mentored Patient-Oriented Career Development Award (K23 DK087903-01A1). Dr. Chin is supported by an NIDDK Midcareer Investigator Award in Patient-Oriented Research (K24 DK071933).

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Authors and Affiliations

  1. Department of Medicine, University of Chicago, 5841 S. Maryland Ave. MC 2007, Chicago, IL, 60637, USA

    Arshiya A. Baig, Cara A. Locklin, Abigail E. Wilkes, Rita Gorawara-Bhat, Michael T. Quinn, Deborah L. Burnet & Marshall H. Chin

  2. Advocate Healthcare Parish Nursing, Park Ridge, IL, USA

    Donna Dempsey Oborski

  3. Howard Area Community Center, Chicago, IL, USA

    John C. Acevedo

Authors
  1. Arshiya A. Baig
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  2. Cara A. Locklin
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  3. Abigail E. Wilkes
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  4. Donna Dempsey Oborski
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  6. Rita Gorawara-Bhat
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  7. Michael T. Quinn
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  8. Deborah L. Burnet
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  9. Marshall H. Chin
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Correspondence to Arshiya A. Baig.

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Baig, A.A., Locklin, C.A., Wilkes, A.E. et al. Integrating Diabetes Self-Management Interventions for Mexican-Americans into the Catholic Church Setting. J Relig Health 53, 105–118 (2014). https://doi.org/10.1007/s10943-012-9601-1

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