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Self-Care Practices, Health Beliefs, and Attitudes of Older Diabetic Chinese Americans
Blue Ribbon Award Semi-Finalist
California State University, Los Angeles nursing faculty conducted a community-based participatory research project with two Chinese adult day care centers in Southern California as partners. Many health problems are ethnically related and are particularly common in vulnerable populations. Therefore, the Asian community was of particular interest because Type II diabetes is becoming more prevalent in Chinese Americans despite the absence of obesity.
Three members from each center served on a Community Advisory Board (CAB) were involved in every aspect of the study, the purpose of which was to explore self-care practices, lifestyles, attitudes, and health beliefs of older Chinese Americans with type II diabetes and ultimately to improve diabetic self-care management for this group. CAB members assisted with recruitment and development of interview questions. Thirteen in-depth individual and two focus group interviews were obtained, data was recorded, transcribed, translated, and coded for themes. Focus groups discussed, clarified, and validated the data.
After the project’s completion, the community participated in an open forum during which residents correctly answered questions demonstrating increased knowledge and self-care management potential. Positive cultural attributes of resilience, optimism, and self-reliance were used to promote behavioral changes.
Ming Fang Wang, Nursing
California State University, Los Angeles
Key words: health/health education/health disparities, Asian/Asian American/Asian Pacific Islander, community collaboratives/research teams/advisory boards, Los Angeles, Southern California