Developing a Culturally Appropriate Tool to Support Self-Care in Migrants with Type 2 Diabetes - A Co-Design Study.

culture patient education primary healthcare self-care type 2 diabetes

Journal

Patient preference and adherence
ISSN: 1177-889X
Titre abrégé: Patient Prefer Adherence
Pays: New Zealand
ID NLM: 101475748

Informations de publication

Date de publication:
2023
Historique:
received: 18 07 2023
accepted: 08 09 2023
medline: 19 10 2023
pubmed: 19 10 2023
entrez: 19 10 2023
Statut: epublish

Résumé

Migrants, especially from the Middle East, experience poorer health outcomes and face greater difficulties in accessing healthcare compared to native populations and there is a need for culturally appropriate education for this vulnerable group. The purpose of this study is to describe the process of developing a culturally appropriate tool to support self-care in migrants with type 2 diabetes. In this Co-design study, a tool for supporting self-care in migrants with type 2 diabetes was developed. Migrant patients with type 2 diabetes, healthcare providers and researchers participated in the process, which was based on six elements; engage, plan, explore, develop, decide and change. From February 2021 to December 2022, idea groups were conducted, and a tool was developed through brainstorming, prioritizing and prototyping. In total, 14 migrant patients, ten health care providers and four researchers participated in the Co-design process. The patients wished to receive information about type 2 diabetes self-care behaviour in their own languages. The healthcare providers asked for clear instructions on where to guide their patients regarding reliable information about diabetes in the patient's own language. All participants agreed that information can be presented in different formats, either: text (paper or online), audio-visual via recorded videos and/or lectures and pictures. The Co-design process led to several important insights and experiences related to the importance of diverse cultural backgrounds. When conducting a Co-design study with end-users as stakeholders, it is significant that the stakeholders have a diverse background in experiences, both as patients as well as those who deliver or implement the health service. In this study it was of great importance to include patients with diverse backgrounds regarding; gender, age, health literacy, occupation, years living in Sweden and duration of diabetes.

Identifiants

pubmed: 37854029
doi: 10.2147/PPA.S426908
pii: 426908
pmc: PMC10581012
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2557-2567

Informations de copyright

© 2023 Pettersson et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest in this work.

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Auteurs

Sara Pettersson (S)

Linkoping University, Department of Health, Medicine and Caring Sciences, Linkoping, Sweden.

Leonie Klompstra (L)

Linkoping University, Department of Health, Medicine and Caring Sciences, Linkoping, Sweden.

Maria Jirwe (M)

Red Cross University College, Department of Health Sciences, Huddinge, Sweden.

Tiny Jaarsma (T)

Linkoping University, Department of Health, Medicine and Caring Sciences, Linkoping, Sweden.

Classifications MeSH