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Centro de Investigaciones Regionales Dr. Hideyo Noguchi, Universidad Autónoma de Yucatán

2003, Number 2

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Rev Biomed 2003; 14 (2)

A culturally sensitive tool for Mexican people with diabetes: 'La Manzana de la Salud'

Jiménez-Cruz A, Bacardí-Gascón M, Rosales-Garay P, Herrera-Espinoza J, Willis WO

Language: English
References: 21
Page: 51-59
PDF size: 74.17 Kb.


ABSTRACT

Background. A lack of communication between the patient and the health care provider has been reported in diabetes education programs. These difficulties may be more pronounced when patients and health providers have dissimilar cultural and ethnic backgrounds. The objective of the diabetes program "Si se puede", is to improve the metabolic control of Mexicans with diabetes in the border region.
Methods. The program stresses dietary monitoring. "La Manzana de la Salud", is the dietary tool used for empowerment and to promote physical activity. One hundred Mexican and Mexican-Americans with diabetes from San Diego and Tijuana participated in the program. Sessions included glucose selfmonitoring, diet and diet scoring, physical activity and introduction to the Apple of Health (La Manzana de la Salud) model as a tool to follow the dietary and nutritional recommendations for diabetics. Fasting venous blood samples were taken at the beginning and end of the program and were analyzed for glucose and glycosylated hemoglobin.
Results. Our findings show that after seven weekly sessions, there was a statistically significant improvement in metabolic control and diet score.
Conclusions. Overall, the qualitative and quantitative evaluations show that the program achieved a high level of acceptance by patients and health care providers. Most importantly, the program resulted in a statistically significant difference in blood glucose monitoring and a higher level of patient satisfaction with the program from pre to post-intervention. We suggest the need for support of culturally sensitive intervention programs, using culturally validated tools, and trained health promoters.


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