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Impact of Culturally-Sensitive Education of a Low-Carbohydrate Diet Using the American Diabetes Association (ADA) Plate Method on Glycemic Control and BMI in Hispanic Type 2 Diabetic Mellitus Adults in a Primary Care Setting
Impact of Culturally-Sensitive Education of a Low-Carbohydrate Diet Using the American Diabetes Association (ADA) Plate Method on Glycemic Control and BMI in Hispanic Type 2 Diabetic Mellitus Adults in a Primary Care Setting
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105153
- ISBN
- 9798293838592
- DDC
- 610.73
- 서명/저자
- Impact of Culturally-Sensitive Education of a Low-Carbohydrate Diet Using the American Diabetes Association (ADA) Plate Method on Glycemic Control and BMI in Hispanic Type 2 Diabetic Mellitus Adults in a Primary Care Setting
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 93 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-03, Section: B.
- 주기사항
- Advisor: Jung, Su Yon.
- 학위논문주기
- Thesis (D.N.P.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약Background: The rise of Type 2 Diabetes Mellitus (T2DM) in primary care among minority populations has led to creative ways of addressing nutritional education interventions when dealing with poor adherence, such as utilizing the recommendations of the American Diabetes Association (ADA) plate method. Purpose: To evaluate the plate method tool as a portion-controlled dietary balance to help control glycemic control and encourage weight loss by focusing on patient-centered care through cultural sensitivity in the Hispanic population.Methods: Participants were recruited from a primary care clinic in the San Joaquin Valley. The study will be randomized at the clinic, using a pre- and post-test design, between February and July 2025, among Hispanic patients with T2DM living in the San Joaquin Valley, California. Twenty participants will be randomly selected for this project. This group will receive culturally sensitive support to address language barriers and low literacy through colorful placemats based on ADA guidelines, visual cues, plate method tools, formal health education, and follow-up. Patients will complete pre- and post-intervention tests. The primary outcomes are HbA1C and weight.Results: A total of 20 participants completed the study. The educational nutritional intervention significantly lowered A1C levels in all patients. The paired t-test (before vs. after interventions) resulted in t = 17.586, p 0.001, indicating a significant reduction in A1C. ANOVA analysis of the percentage change across groups showed F = 4.323, p = 0.030, indicating significant differences between the groups. Participants gained knowledge of diabetes nutritional guidelines through the plate method tool, which enhanced their self-care and adherence to diabetic management. There was a 50% increase in average responses of feedback by participants post-intervention with a Paired t-Test: t = -15.00, p 0.0001, indicating significant improvement.Conclusion: Previous studies have shown that the ADA plate method is an effective tool for adhering to nutritional intervention, achieving glycemic and weight control. Specifically, this quality improvement project aims to enhance education among patients with limited resources for addressing cultural sensitivity and health literacy, particularly among Hispanic Adults with T2DM in the primary setting.
- 일반주제명
- Nursing
- 일반주제명
- Public health
- 일반주제명
- Nutrition
- 키워드
- Diabetes
- 키워드
- Dietary balance
- 키워드
- Weight control
- 기타저자
- University of California, Los Angeles Nursing 0597
- 기본자료저록
- Dissertations Abstracts International. 87-03B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
008260126s2025 us c eng d■001000017359657
■00520260202105153
■006m o d
■007cr#unu||||||||
■020 ▼a9798293838592
■035 ▼a(MiAaPQ)AAI32242652
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a610.73
■1001 ▼aDhatt, Jagjiwan Kaur.
■24510▼aImpact of Culturally-Sensitive Education of a Low-Carbohydrate Diet Using the American Diabetes Association (ADA) Plate Method on Glycemic Control and BMI in Hispanic Type 2 Diabetic Mellitus Adults in a Primary Care Setting
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a93 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-03, Section: B.
■500 ▼aAdvisor: Jung, Su Yon.
■5021 ▼aThesis (D.N.P.)--University of California, Los Angeles, 2025.
■520 ▼aBackground: The rise of Type 2 Diabetes Mellitus (T2DM) in primary care among minority populations has led to creative ways of addressing nutritional education interventions when dealing with poor adherence, such as utilizing the recommendations of the American Diabetes Association (ADA) plate method. Purpose: To evaluate the plate method tool as a portion-controlled dietary balance to help control glycemic control and encourage weight loss by focusing on patient-centered care through cultural sensitivity in the Hispanic population.Methods: Participants were recruited from a primary care clinic in the San Joaquin Valley. The study will be randomized at the clinic, using a pre- and post-test design, between February and July 2025, among Hispanic patients with T2DM living in the San Joaquin Valley, California. Twenty participants will be randomly selected for this project. This group will receive culturally sensitive support to address language barriers and low literacy through colorful placemats based on ADA guidelines, visual cues, plate method tools, formal health education, and follow-up. Patients will complete pre- and post-intervention tests. The primary outcomes are HbA1C and weight.Results: A total of 20 participants completed the study. The educational nutritional intervention significantly lowered A1C levels in all patients. The paired t-test (before vs. after interventions) resulted in t = 17.586, p 0.001, indicating a significant reduction in A1C. ANOVA analysis of the percentage change across groups showed F = 4.323, p = 0.030, indicating significant differences between the groups. Participants gained knowledge of diabetes nutritional guidelines through the plate method tool, which enhanced their self-care and adherence to diabetic management. There was a 50% increase in average responses of feedback by participants post-intervention with a Paired t-Test: t = -15.00, p 0.0001, indicating significant improvement.Conclusion: Previous studies have shown that the ADA plate method is an effective tool for adhering to nutritional intervention, achieving glycemic and weight control. Specifically, this quality improvement project aims to enhance education among patients with limited resources for addressing cultural sensitivity and health literacy, particularly among Hispanic Adults with T2DM in the primary setting.
■590 ▼aSchool code: 0031.
■650 4▼aNursing
■650 4▼aPublic health
■650 4▼aNutrition
■653 ▼aAmerican Diabetes Association
■653 ▼aDiabetes
■653 ▼aDietary balance
■653 ▼aHispanic patients
■653 ▼aWeight control
■690 ▼a0569
■690 ▼a0573
■690 ▼a0570
■71020▼aUniversity of California, Los Angeles▼bNursing 0597.
■7730 ▼tDissertations Abstracts International▼g87-03B.
■790 ▼a0031
■791 ▼aD.N.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17359657▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.


