Journal article
A culturally informed lower-extremity complication prevention program for people living with diabetes in south India
Global health promotion, Vol.27(3), pp.82-91
09/01/2020
DOI: 10.1177/1757975919864110
PMID: 31451040
Abstract
Background: Diabetes and its complications are increasing in frequency worldwide. Lower-extremity complications carry a high risk for morbidity and mortality, yet are largely preventable through education and self-monitoring. In India, rural areas lack access to education, care, and treatment. Despite existing evidence-based programs to reduce diabetes-related lower-extremity complications in areas with limited resources, uptake and sustainability may be hampered by the lack of translation to the local cultural context. Aims: To address this gap, this study used the Culturally Informed Healthy Aging nursing process to develop a lower extremity complication prevention program in a rural village. The paper describes the results of a community health needs assessment conducted annually from 2009 to 2014, and subsequent pilot test of an intervention incorporating these results. Methods: The Culturally Informed Healthy Aging process is a naturalistic, inductive method used to identify and address health needs. Components include community partnership, community assessment, program planning, selection of health priorities, workgroup formation and translation of evidence, and program outcome evaluation. The programming is assessed using process evaluation, which allows for continuous monitoring and program modification. Results: Community assessment revealed a number of values, beliefs, and practices related to foot care and assessment in rural south India. These were incorporated into culturally informed programming and evidence-based protocols were adapted for use in the local context. Programming resulted in increased community capacity for lower extremity complication prevention, accessible population screening, and culturally informed foot care education. Discussion: Strengths, limitations and implications for care in rural India and other areas are discussed.
Details
- Title: Subtitle
- A culturally informed lower-extremity complication prevention program for people living with diabetes in south India
- Creators
- Amanda Peacock - Loyola University ChicagoLisa Skemp - Loyola University ChicagoSridevi Seetharam - Research Division, Swami Vivekananda Youth Movement, India.Rekha Shanmukha - Vivekananda Institute of Indian Studies, Swami Vivekananda Youth Movement, India.Manohar Prasad - Research Division, Swami Vivekananda Youth Movement, India.Mysore Ramachandra Seetharam - Research Division, Swami Vivekananda Youth Movement, India.
- Resource Type
- Journal article
- Publication Details
- Global health promotion, Vol.27(3), pp.82-91
- Publisher
- Sage
- DOI
- 10.1177/1757975919864110
- PMID
- 31451040
- ISSN
- 1757-9759
- eISSN
- 1757-9767
- Number of pages
- 10
- Grant note
- University of Iowa's John A Hartford Foundation Center of Geriatric Nursing Excellence
- Language
- English
- Date published
- 09/01/2020
- Academic Unit
- International Programs; Nursing
- Record Identifier
- 9984383904702771
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