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. 2009 Oct;6(4):A131.
Epub 2009 Sep 15.

A diabetes self-management program designed for urban American Indians

Sarah Castro  1 , Mary O'Toole, Carol Brownson, Kimberly Plessel, Laura Schauben
Affiliations

A diabetes self-management program designed for urban American Indians

Sarah Castro et al. Prev Chronic Dis. 2009 Oct.

Abstract

Background: Although the American Indian population has a disproportionately high rate of type 2 diabetes, little has been written about culturally sensitive self-management programs in this population.

Context: Community and clinic partners worked together to identify barriers to diabetes self-management and to provide activities and services as part of a holistic approach to diabetes self-management, called the Full Circle Diabetes Program.

Methods: The program activities and services addressed 4 components of holistic health: body, spirit, mind, and emotion. Seven types of activities or services were available to help participants improve diabetes self-management; these included exercise classes, educational classes, and talking circles.

Consequences: Ninety-eight percent of program enrollees participated in at least 1 activity, and two-thirds participated in 2 or more activities. Program participation resulted in a significant improvement in knowledge of resources for managing diabetes.

Interpretation: The Full Circle Diabetes Program developed and implemented culturally relevant resources and supports for diabetes self-management in an American Indian population. Lessons learned included that a holistic approach to diabetes self-management, community participation, and stakeholder partnerships are needed for a successful program.

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