Summary:
In Chinese American adults with type 2 diabetes (T2D), the culturally and linguistically tailored Chinese American Research and Education (CARE) program significantly improved diabetes self-efficacy, reduced diabetes distress, and enhanced adherence to dietary self-care activities compared to a waitlist control group, though it was associated with no reported significant adverse effects.
| PICO | Description |
|---|---|
| Population | Chinese American adults aged 18–70 years with type 2 diabetes and a baseline HbA1c ≥7%, predominantly with limited English proficiency and low educational attainment. |
| Intervention | The CARE program, including 12 weeks of culturally and linguistically tailored diabetes self-care education videos (delivered via WeChat) and biweekly goal-setting/support calls from community health workers. |
| Comparison | Waitlist control group receiving usual care with no intervention during the study period. |
| Outcome | At 3 months, participants in the CARE group showed significant improvements in diabetes self-efficacy (mean change difference: 8.47; 95% CI 2.44–14.5; P=.02) and adherence to a healthy diet (difference: 1.61; 95% CI 0.46–2.75; P=.02). At 6 months, they maintained dietary adherence (difference: 1.64; 95% CI 0.48–2.81; P=.02) and demonstrated significantly reduced diabetes distress (difference: -0.43; 95% CI -0.71 to -0.15; P=.009). |
Source: Jing Liu, et al. “A Culturally and Linguistically Tailored Intervention to Improve Diabetes-Related Outcomes in Chinese Americans With Type 2 Diabetes: Pilot Randomized Controlled Trial.” Read article here.
