Date of Conferral



Doctor of Nursing Practice (DNP)




Patricia Schweichert


The Hispanic population has an elevated prevalence of diabetes, resulting in large part from a lack of self-management skills required to obtain glycemic control. The purpose of this project was to determine whether diabetes self-management knowledge was improved through the use of a culturally-based diabetes self-management program for Hispanic adults with diabetes using elements of the Hispanic culture. The research question asked whether a researcher-developed diabetes self-management education program that incorporated elements of the Hispanic culture improved diabetes knowledge in the Hispanic population when compared to a non-culturally based diabetes self-management program. The project was conducted using a quasi-experimental control group pre-test/post-test design using the stages of change transtheroretical model as its theoretical framework. Twenty-three Hispanic adults who had a diagnosis of diabetes and a Hemoglobin A1c level of greater than 7%, were recruited for the project. All project participants were recruited through a referral process from a local community clinic located in Montgomery County Texas. Pre/post-test data for the project were obtained through use of the University of Michigan's Diabetes Knowledge Test. A paired-sample t test was conducted to compare the pre-test and post-test results of the experimental group and the control group The project data results showed a significant difference (p < 0.05) between the pre/post-test scores of the experimental group but showed no difference between the 2 scores for the control group, leading to the recommendation that diabetes self-management education should be culturally based. Positive social change was gained from this project through the empowerment of Hispanics in the self-management of diabetes.

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