Abstract
To develop a diabetes education model based on individual beliefs, knowledge and risk awareness, aimed at migrants with type 2 diabetes, living in Sweden. Type 2 diabetes is rapidly increasing globally, particularly affecting migrants living in developed countries. There is ongoing debate about what kind of teaching method gives the best result, but few studies have evaluated different methods for teaching migrants. Previous studies lack a theoretical base and do not proceed from the individuals' own beliefs about health and illness, underpinned by their knowledge, guiding their health-related behaviour. A diabetes education model was developed to increase knowledge about diabetes and to influence self-care among migrants with type 2 diabetes. The model was based on literature review, on results from a previous study investigating knowledge about diabetes, on experience from studies of beliefs about health and illness, and on collaboration between researchers in diabetes care and migration and health and staff working in a multi-professional diabetes team. This is a culturally appropriate diabetes education model proceeding from individual beliefs about health and illness and knowledge, conducted in focus-group discussions in five sessions, led by a diabetes specialist nurse in collaboration with a multi-professional team, and completed within three months. The focus groups should include 4-5 persons and last for about 90 min, in the presence of an interpreter. A thematic interview guide should be used, with broad open-ended questions and descriptions of critical situations/health problems. Discussions of individual beliefs based on knowledge are encouraged. When needed, healthcare staff present at the session answer questions, add information and ensure that basic principles for diabetes care are covered. The diabetes education model is tailored to both individual and cultural aspects and can improve knowledge about type 2 diabetes, among migrants and thus increase self-care behaviour and improve health.
Highlights
Background and rationale for the developmentDiabetes Mellitus (DM) is rapidly increasing globally, predominantly including type 2 diabetes (85%) and affecting migrants living in developed countries (IDF, 2017; Cho et al, 2018)
National guidelines for diabetes care (Socialstyrelsen, 2018) and evaluations of diabetes care (SBU, 2009; Socialstyrelsen, 2012) likewise recommend group-based education for persons with type 2 diabetes, and focus-group discussions were chosen as the teaching strategy
It has been found that migrants have difficulties assimilating knowledge about diabetes in existing education models offered by health care
Summary
Background and rationale for the developmentDiabetes Mellitus (DM) is rapidly increasing globally, predominantly including type 2 diabetes (85%) and affecting migrants living in developed countries (IDF, 2017; Cho et al, 2018). The Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) programme is a structured group-based educational programme for people with type 2 diabetes (run since 2008). It is used in the UK (Chatterjee et al, 2018) and Australia (Miller et al, 2020) and is one of the only programmes that have been extensively evaluated to show a variety of health outcome improvements. Some courses in the programme have been adapted for delivery to South Asian
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
