The process of adapting an innovative program for the self-management of type 2 diabetes in Aboriginal peoples: Guided Self-Determination in health care settings.

Objectives The Guided Self-Determination (GSD) method is an evidence-based life-skill intervention program that involves self-directed and shared decision making between people with an ongoing health issue and GSD-trained health care practitioners. Type 2 diabetes (T2D) is a significant contributor to disease burden for Aboriginal and Torres Strait Islander peoples. This paper describes the process of developing of a co-designed, culturally-tailored GSD program to improve diabetes self-management and wellbeing for Aboriginal and Torres Strait Islander peoples. Methods Two co-design workshops were held with Aboriginal people with lived experience of T2D and health care practitioners. Results The participants’ feedback highlighted the need for plain language and pictorials; using respectful Indigenous language terms; the importance of emphasising successful diabetes management; the inclusion of mind mapping; and, the use of strengths-based yarning as the foundation of the program. Conclusions The importance of tailoring communication methods to fit the cultural and linguistic context for Aboriginal and Torres Strait Islander peoples was integral to participants. Using less medical and technical language and including diagrams, drawings, or symbols ensured the information was accessible. By aligning language and communication styles with that of Aboriginal and Torres Strait Islander people, healthcare practitioners can help ensure their messages are valued and understood. In the next phase of the project, the effectiveness of the co-designed GSD program will be evaluated using diabetes self-management and quality of life measures. In addition, the feasibility and acceptability of the GSD program will be explored.