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Davidson JA, Rosales A, Shillington AC, et al. Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus. Patient Prefer Adherence. 2015;9:619-25doi: 10.2147/PPA.S80552.
Davidson, J. A., Rosales, A., Shillington, A. C., Bailey, R. A., Kabir, C., & Umpierrez, G. E. (2015). Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus. Patient preference and adherence, 9619-25. https://doi.org/10.2147/PPA.S80552
Davidson, Jaime A, et al. "Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus." Patient preference and adherence vol. 9 (2015): 619-25. doi: https://doi.org/10.2147/PPA.S80552
Davidson JA, Rosales A, Shillington AC, Bailey RA, Kabir C, Umpierrez GE. Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus. Patient Prefer Adherence. 2015 Apr 30;9:619-25. doi: 10.2147/PPA.S80552. eCollection 2015. PMID: 25995623; PMCID: PMC4425339.
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Patient Prefer Adherence. 2015 Apr 30;9:619-25. doi: 10.2147/PPA.S80552. eCollection 2015.

Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus.

Patient preference and adherence

Jaime A Davidson, Aracely Rosales, Alicia C Shillington, Robert A Bailey, Chris Kabir, Guillermo E Umpierrez

Affiliations

  1. Touchstone Diabetes Center, University of Texas Southwestern Medical Center, Dallas, TX, USA.
  2. Rosales Communications, Philadelphia, PA, USA.
  3. EPI-Q, Inc., Oakbrook, IL, USA.
  4. Health Economics and Outcomes Research, Janssen Scientific Affairs, LLC, Raritan, NJ, USA.
  5. Division of Endocrinology and Metabolism, Emory University, Atlanta, Georgia, GA, USA.

PMID: 25995623 PMCID: PMC4425339 DOI: 10.2147/PPA.S80552

Abstract

PURPOSE: To describe the cultural and linguistic adaptation and Spanish translation of an English-language patient decision aid (PDA) for use in supporting shared decision-making in Hispanics/Latinos with type 2 diabetes mellitus (T2DM), a group at a high risk for complications.

PATIENTS AND METHODS: A steering committee of endocrinologists, a primary care physician, a certified diabetes educator, and a dietician, each with extensive experience in providing care to Hispanics/Latinos was convened to assess a PDA developed for English-speaking patients with T2DM. English content was reviewed for cultural sensitivity and appropriateness for a Hispanic/Latino population. A consensus-building process and iterative version edits incorporated clinician perspectives. The content was adapted to be consistent with traditional Hispanic/Latino cultural communication precepts (eg, avoidance of hostile confrontation; value for warm interaction; respect for authority; value of family support for decisions). The PDA was translated by native-speaking individuals with diabetes expertise.

RESULTS: The PDA underwent testing during cognitive interviews with ten Spanish-speaking Hispanics/Latinos with T2DM to ensure that the content is reflective of the experience, understanding, and language Hispanic/Latino patients use to describe diabetes and treatment. Content edits were made to assure a literacy level appropriate to the audience, and the PDA was produced for online video dissemination.

CONCLUSION: High-quality, well-developed tools to facilitate shared decision-making in populations with limited access to culturally sensitive information can narrow gaps and align care with individual patient preferences. A newly developed PDA is available for shared decision-making that provides culturally appropriate treatment information for inadequately controlled Hispanics/Latinos with T2DM. The impact on the overall health of patients and care management of T2DM requires further study.

Keywords: Hispanic; decision making; language adaptation; patient decision aid; type 2 diabetes

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