Research Mentor(s): Anthony Tolentino, Postdoctoral Research Fellow
Research Mentor School/College/Department: Nursing, Institute for Healthcare Policy and Innovation, School of Nursing
Presentation Date: Thursday, April 22, 2021
Session: Session 5 (3pm-3:50pm)
Breakout Room: Room 12
Type 2 diabetes (T2D) is among the top reasons for deaths in Asian-Americans (AA). Although AA consists of people from more than 20 countries, existing T2D research often masks the differences. According to the Office of Minority Health (2019), about 11.5% of AA adults have T2D, compared to 8% of White Americans. The data also suggests that the rate of T2D in AA adults increased from 8.7% in 2017 to 11.5% in 2018. As Asian-Americans face challenges in healthcare, including linguistic, cultural, and literacy barriers, it is essential to research existing diabetes self-management programs (DSMPs), as many studies aggregate Asian Americans as a monolith group and disregard Asian-American subgroups’ heterogeneity. A scoping review is vital to establish foundational knowledge for DSMPs focused on AA. This scoping review defines DSMPs as managing an individual’s condition through self-care, problem-solving & decision making, resource utilization, and symptom, family, medical, or emotional management. We searched six different databases for relevant articles with no date range. The initial citation lists from all databases by keyword search yielded 2581 results. After screening for titles and abstracts, 311 articles were included in the full-text screening. Articles were excluded if they were non-primary research studies, did not focus on T2D or AA adults, and did not include DSMPs. After screening the full-text articles, 31 articles were included in the final analysis. DistillerSR was used to screen and extract data, including method, intervention duration, participant setting and demographics, theoretical framework, number and details of DSMP intervention groups, and results. We hypothesized that there is a higher need to focus on minority subgroup research. There is a need to tailor DSMPs to address the barriers that AA face in healthcare so that distinct cultural, linguistic, ethnic needs and preferences are met. Improved understanding of existing research may enhance future development of DSMPs for Asian-Americans and its subgroups.