Pooja Lagisetty|Shubadra Priyadarshini|Stephanie M. Terrell|Mary C. Hamati|Jessica Landgraf|Vineet Chopra|Michele Heisler
Culturally Targeted Strategies for Diabetes Prevention in Minority Population
University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|VA Ann Arbor Healthcare System
purpose purpose study assess effectiveness culturally tailored diabetes prevention interventions minority populations b develop novel framework characterize 4 key domains culturally tailored interventions prevention strategies specifically tailored culture ethnic minority patients may help reduce incidence diabetes methods searched pubmed embase cinahl englishlanguage randomized controlled trials rcts quasiexperimental qe trials testing culturally tailored interventions prevent diabetes minority populations two reviewers independently extracted data assessed risk bias inductive thematic analysis used develop framework 4 domains fillm facilitating ie delivering interventions language location message framework used assess overall effectiveness culturally tailored interventions results thirtyfour trials met eligibility criteria twelve studies rcts 22 qe trials twentyfive 34 studies 74 used cultural tailoring demonstrated significantly improved a1c fasting glucose andor weight loss 25 successful interventions 21 84 incorporated least 3 culturally targeted domains seven studies used 4 domains successful least utilized domain delivery 434 interventions key educational message conclusions culturally tailoring interventions across 4 domains facilitators language location messaging effective improving risk factors progression diabetes among ethnic minority groups future studies evaluate specific tailoring approaches work compared usual care well comparative effectiveness tailoring domain