Publication Date

Spring 2018

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Danette Dutra

Second Advisor

Anne Stokman

Third Advisor

Lynda Scales


Women's health, Hispanic women's health, diabetes


This study assessed the effectiveness of a culturally sensitive type 2 diabetes group education program delivered to Hispanic women in Merced County. Design: A pre-test post-test design. Purposeful sampling was used. Fifteen Hispanic women from a Merced County outpatient clinic were invited to participate in a culturally relevant group education workshop over a 6-week period. Four (N=4) women accepted the invitation, completed the educational workshop, and participated in the assessments. Topics discussed in the education sessions included: (1) diabetic diet, (2) exercise, (3) blood sugar monitoring, (4) medication, and (5) preventative health. A knowledge check was completed by the participants before and after participation in the workshop to examine if any changes in diabetes self-management knowledge could be estimated. Findings/Results: Outcomes demonstrated an increase in diabetes self-management knowledge from an average of 64.7% correct responses at baseline to 77.4%in correct responses at follow-up. All evaluation questions achieved an average score of four or more suggesting a high degree of satisfaction with the culturally tailored education. An inter-rater agreement of α=.76 suggesting a fairly strong agreement regarding evaluation scores among the four raters. Finally, at 3-month follow-up, Hgb A1C levels showed a slight decline from 8.5 to 8.23 at 3-month follow-up. These outcomes collectively demonstrated that the culturally focused diabetes management educational workshop was successful with increasing diabetes self-management knowledge. Results of this pilot quality improvement project may be used to guide future efforts for developing diabetic education programs designed for the female Hispanic population in Merced County.


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