Assistant Professor University of Oklahoma Health Sciences Center Oklahoma city, Oklahoma, United States
Evidence indicates participation in DSMES programs lowers hemoglobin A1c and prevents diabetes complications. However, language and culture differences may be barriers to program participation resulting in ineffective self-management. This poster describes a stepped wedge randomized controlled study to evaluate a multi-component, culturally tailored self-management mHealth intervention for US Vietnamese with diabetes. This study is in progress and the presentation describes baseline data of study subjects and lessons learned to date, which include (1) the impact of culture on study design, (2) intervention development, (3) health outcome measures, (4) teaching & learning modalities, (5) limits of the stepped wedge design, and (6) challenges & facilitators with solutions for technical problems, practical problems, methodological problems, and diversity and inclusion problems.
