543 Themes shaping type 2 diabetes self-management among Latino/Hispanic adults: A qualitative digital storytelling study

Objectives/Goals: To address the disparity in type 2 diabetes within the Latino community, we utilized digital story telling narrative-based videos created by and for individuals with lived experiences. Methods/Study Population: We utilized digital story telling narrative-based videos created by and for individuals with lived experiences. The targeted population is the Latino community. Results/Anticipated Results: Our qualitative results were discordant with the quantitative findings. Rather than four distinct patterns based on self-efficacy and HbA1c levels, we found five common themes across the groups: (1) trauma shapes readiness for change; (2) caregiving responsibilities can hinder self-management; (3) persistence is key to long-term T2D control; (4) social support is essential; and (5) self-advocacy and a desire for knowledge drive success. These results highlight the multifaceted challenges Latino/Hispanic individuals face in managing type 2 diabetes, where overlapping social and cultural factors influence both self-efficacy and health outcomes. Discussion/Significance of Impact: Interventions for Latino/Hispanic communities should be well informed and family/community-centered, and that will strengthen the persistence, support network, and patient empowerment to translate confidence into sustained glycemic control.