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Cited by 35Diabetes Management and EducationCultural Competency in Health CareDiabetes, Cardiovascular Risks, and Lipoproteins

Culturally tailored self-management interventions for South Asians with type 2 diabetes: A systematic review

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Navodia, Nevin, Wahoush, Olive, Tang, Tricia, Yost, Jennifer, Ibrahim, Sarah, Sherifali, Diana·2019·Canadian Journal of Diabetes
DOI 10.1016/j.jcjd.2019.04.010
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Abstract

Diabetes mellitus is one of the most common chronic diseases worldwide and a leading cause of morbidity and mortality. A high prevalence of type 2 diabetes mellitus has been noted among the South Asian population, in general, and migrant South Asians. Self-management is considered a proponent to the management of diabetes. Although empirical evidence supports such interventions, little is known regarding the cultural congruency of such interventions for diverse cultural and ethnic groups, particularly South Asians. Our purpose was to determine the effectiveness of diabetes self-management education (DSME) and diabetes self-management support (DSMS), interventions on migrant South Asian's glycated hemoglobin (A1C) levels and whether DSME and DSMS interventions are culturally tailored to the migrant South Asian population. In this study, a systematic review, with narrative synthesis, was conducted. Data were extracted on the study, participant, and intervention characteristics and the cultural congruity using Leininger's sunrise model. Four studies meeting the inclusion criteria were included. Overall, most (75%) of the DSME and DSMS interventions were not effective in reducing A1C levels. Specific to cultural congruity of the interventions, all studies delivered the intervention based on the participant's preferred language and incorporated culturally sensitive dietary information primarily by persons of the same cultural and ethnic background. However, little information was presented on the provision and integration of culturally congruent care. Findings highlight the importance of rethinking the way in which South Asians are labelled as a homogenous group and accounting for such differences when adapting and designing culturally tailored DSME and or DSMS interventions in clinical practice.

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Authors
Navodia, N., Wahoush, O., Tang, T., Yost, J., Ibrahim, S., & Sherifali, D.
Affiliations
  • St. Joseph’s Healthcare Hamilton (CA)
  • McMaster University (CA)
  • University of British Columbia (CA)
  • Villanova University (US)
  • University of Toronto (CA)
  • Hamilton Health Sciences (CA)
Corresponding author
Sherifali, Diana
ORCID
Venue
Canadian Journal of Diabetes
Publisher
Elsevier BV
Published
2019-08
Volume
43
Issue
6
Pages
445-452
ISSN
1499-2671 (ISSN-L)
DOI
10.1016/j.jcjd.2019.04.010
OpenAlex
W2768098861
Cited by
35
References
42
Citations by year
2026: 3 · 2025: 6 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 3 · 2019: 1
FWCI
0.69
Type
journal article
Language
en
Open access
Licence
Locations
  • Canadian Journal of Diabetes (publishedVersion)
  • PubMed (publishedVersion)
  • MacSphere (McMaster University) (submittedVersion)
  • MacSphere (McMaster University)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
type 2 diabetes, diabetes self-management education, diabetes self-management support, culturally tailored interventions, HbA1c, language preference, dietary recommendations, ethnic diversity
MeSH terms
Self-Management, Cultural Characteristics, Diabetes Mellitus, Type 2, Humans, Patient Education as Topic, Quality of Life, Asian People, Culturally Competent Care

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