The Diabetes Garage education program significantly improved food-portion measurement (p<0.001), carbohydrate intake (p<0.001), physical activity (p=0.0002), and self-efficacy (p=0.0006).
Does a culturally tailored diabetes education program using automotive maintenance comparisons improve self-management behaviors and clinical outcomes in Hispanic men?
A culturally tailored diabetes education program leveraging car culture significantly improved self-management behaviors and reduced diabetes distress among Hispanic men.
p-value: p=<0.001
Introduction and Objective: Hispanic males experience high rates of diabetes and related complications. Research has shown that Hispanic men are less likely to participate in diabetes education programs compared to women or non-Hispanic white males. The objective of the Diabetes Garage (DG) is to engage men to participate in a 4-week diabetes education program that uses automotive maintenance comparisons to improve Hispanic men's self-management behaviors and glycemic outcomes. Methods: A 4-week culturally tailored hybrid and online diabetes education program was implemented in El Paso, Harlingen, and San Antonio, Texas, between 2020 and 2023. A total of 27 series were delivered by Certified Diabetes Care and Education Specialists. Wilcoxon matched-pairs signed-rank tests were conducted to assess pre-post test differences in behavior, and paired t-tests were conducted to examine differences in physical outcomes. Results: Results are based on 224 male participants, with an average of 8 men per series. The mean age was 59.50 years (SD = 12.37). Participants were primarily Hispanic (90%), married (73.56%), employed (62.02%), and had health insurance (84.42%). The primary language spoken was English (45%), followed by Spanish (38%), and 17% reported speaking both languages. Statistically significant improvements were found in measuring food-portion (Z = -5.918, p .001), carbohydrate intake (Z = -7.487, p .001), physical activity (Z = -3.746, p = .0002), management self-efficacy (Z = -3.434, p = .0006) and diabetes distress (Z = 4.696, p .001). Although not statistically significant, improvements were observed in clinical indicators (i.e., weight, HbA1c, and blood pressure). Conclusion: This study underscores the importance of integrating local cultural context when tailoring diabetes interventions to effectively engage Hispanic men in diabetes self-management, a population frequently characterized as having low engagement in these behaviors. Disclosure J.B. Concha: None. G.S. Schober: None. D.N. Chacon-Portillo: None. T.M. Sanchez: None. R.F. Ruiz-Reyes: None. R.L. Romero: None. Funding Texas Department of State Health Services
CONCHA et al. (Fri,) conducted a other in Diabetes (n=224). Diabetes Garage education program vs. Pre-intervention baseline was evaluated on Pre-post test differences in self-management behaviors and physical outcomes (p=<0.001). The Diabetes Garage education program significantly improved food-portion measurement (p<0.001), carbohydrate intake (p<0.001), physical activity (p=0.0002), and self-efficacy (p=0.0006).
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