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Health literacy issues in the care of Chinese American immigrants with diabetes: a qualitative study.

ABSTRACT: To investigate why first-generation Chinese immigrants with diabetes have difficulty obtaining, processing and understanding diabetes related information despite the existence of translated materials and translators.This qualitative study employed purposive sampling. Six focus groups and two individual interviews were conducted. Each group discussion lasted approximately 90?min and was guided by semistructured and open-ended questions.Data were collected in two community health centres and one elderly retirement village in Los Angeles, California.29 Chinese immigrants aged ?45 years and diagnosed with type 2 diabetes for at least 1?year.Eight key themes were found to potentially affect Chinese immigrants' capacity to obtain, communicate, process and understand diabetes related health information and consequently alter their decision making in self-care. Among the themes, three major categories emerged: cultural factors, structural barriers, and personal barriers.Findings highlight the importance of cultural sensitivity when working with first-generation Chinese immigrants with diabetes. Implications for health professionals, local community centres and other potential service providers are discussed.

SUBMITTER: Leung AY

PROVIDER: S-EPMC4244415 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Health literacy issues in the care of Chinese American immigrants with diabetes: a qualitative study.

Leung Angela Yee Man AY Bo Ai A Hsiao Hsin-Yi HY Wang Song Song SS Chi Iris I

BMJ open 20141118 11

<h4>Objectives</h4>To investigate why first-generation Chinese immigrants with diabetes have difficulty obtaining, processing and understanding diabetes related information despite the existence of translated materials and translators.<h4>Design</h4>This qualitative study employed purposive sampling. Six focus groups and two individual interviews were conducted. Each group discussion lasted approximately 90 min and was guided by semistructured and open-ended questions.<h4>Setting</h4>Data were c ...[more]

PMID: 25406155

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Project description:IntroductionDigital health intervention offers the potential to enhance health literacy, which is crucial for effective diabetes management, especially among adolescents. Diabetes is a major global public health issue, leading to devastating complications and increasing mortality rates. The incidence of type 1 diabetes mellitus (T1DM) is also on the rise, particularly among adolescents, necessitating multisectoral strategies to combat this disease. This study explores the perceptions of adolescents with T1DM in Germany regarding digital health interventions, with the aim of improving healthcare by addressing specific needs and guiding future research.MethodologyThis study employed a qualitative approach using semi-structured individual interviews with adolescents with T1DM (n = 20) aged 14 to 18 years old in Germany to explore their perspectives on digital interventions for health literacy promotion. The study adopted content analysis according to Kuckartz et al. and the research followed the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Ethical considerations were paramount and data were rigorously analyzed using coding and iterative processes to ensure data quality and reliability.ResultsThe findings indicate that within three prominent domains, namely the utilization of digital health intervention for accessing and comprehending information, facilitating peer-to-peer interactions, and enhancing physician-patient communication and interaction, digital health interventions are either underutilized or insufficiently deployed. In addition, a notable observation is the apparent lack of patient-centered approaches for adolescents with T1DM in relation to digital health interventions and health literacy.ConclusionIn order to enhance the utilization of digital health interventions and enhance health literacy it is essential to focus on capacity building through a patient-centered approach, to promote digital health literacy, and foster the cultivation of a participatory culture. The outcomes of this study offer valuable insights that can inform practical applications, further research endeavors, and influence policymaking.

Dataset Information

Health literacy issues in the care of Chinese American immigrants with diabetes: a qualitative study.

Publications

Health literacy issues in the care of Chinese American immigrants with diabetes: a qualitative study.

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