EBP Question: Does the use of culturally congruent inter-professional education for newly diagnosed diabetic patients between the ages of 40-70 years old, as opposed to no educational intervention, impact A1C levels, and weight over 90 days?

Date: 

Article Number 

Author and Date

Evidence Type

Sample, Sample Size, Setting

Findings That Help Answer the EBP Question

Observable Measures

Limitations

Evidence Level, Quality

1

Weller, Baer, Nash, & Perez (2017)

qualitative comparative study

A sample of adult patients with type 2 diabetes. Sample size of 56. Setting was university-affiliated Family Medicine Clinics in Galveston, Texas. 

Reoffering diabetes education classes may help improve poor control of diabetes.

type 2 diabetes explored diet, food preparation, physical activity, medication use and glucose monitoring

Small non-representative samples limited generalizability of the study. Besides, this study used standardized scales and questionnaires that could not explore personal practices in depth.

Level V, High quality.

2

Hamilton (2016)

mixed methods

Convenience sample of type II Diabetic mellitus female and male patients between the ages of 21 and 65. Sample size of 6 under primary care clinics for an Indian Health Services clinic setting.

Using a Native American nurse to offer culturally sensitive education to Native American diabetic patients decreases trust and linguistic obstacles to understanding.

hemoglobin A1c value, Medication adherence, and health recommendations by the provider

The Native American convenience sample obtained was insufficient to illustrate an improvement in outcomes. Besides, Hemoglobin A1c was inconsistently obtained by the providers who saw the participants in their follow up.

Level IV, Low quality.

3

Nazar, Bojerenu, Safdar, & Marwat (2016)

systematic review

A random sample of articles on knowledge about diabetes, a sample size of 25 articles in the United Kingdom.

The review illustrated that south Asian patients face problems regarding diet aspect and show poor level of knowledge concerning diabetes and also are discouraged to join educational sessions. Besides, the review depicted that illiteracy and lack of knowledge poses a great challenge to effective health education. 

Knowledge and Awareness

The study did not include enough sample studies to come up with a conclusion that can be generalized.

Level V, low quality because it is not supported by any credible organization.

4

Navodia, N., Wahoush, O., Tang, T., Yost, J., Ibrahim, S., & Sherifali, D. (2019)

Systematic review

A sample of 67 randomly selected articles with recipient Population consisted of migrants, CLDP, ethnic minorities in the United States.

The findings indicated that it is essential to keep the heterogeneity among CLDP in mind and to carefully consider interactions between societal, cultural, health related and personal factors to explain and reduce healthcare disparities.

 Components of culturally competent healthcare–Individual level; Components of culturally competent healthcare–Organizational level; Strategies to implement culturally competent healthcare and Strategies to provide access to culturally competent healthcare.

The effectiveness of identified components and strategies could not be confirmed and was even often impossible to evaluate because either no control group was available or the chosen control group did not give any information on the effectiveness of the culturally competent components but rather on the health intervention in combination with culturally competent elements.

Level V, high quality because it is supported by a credible organization.

5

Cream