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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 Dia...
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

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자료유형  
 학위논문 서양
최종처리일시  
20260202105153
ISBN  
9798293838592
DDC  
610.73
저자명  
Dhatt, Jagjiwan Kaur.
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  
American Diabetes Association
키워드  
Diabetes
키워드  
Dietary balance
키워드  
Hispanic patients
키워드  
Weight control
기타저자  
University of California, Los Angeles Nursing 0597
기본자료저록  
Dissertations Abstracts International. 87-03B.
전자적 위치 및 접속  
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■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.

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