Assignment:
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The first study: Culturally Targeted Strategies for Diabetes Prevention in Minority Populations, purpose is to examine the effectiveness of culturally tailored diabetes preventions in minorities, and develop strategies to help reduce the incidence of diabetes. This study shows evidence that culturally tailored diabetes prevention interventions in ethnic minority groups, can decrease the prevalence of diabetes, and can easily be adopted and utilized. This study would provide sufficient evidence for my EBP, as it focused on interventions such as targeted ethnic minority groups, defined as people who differ in physical or cultural traits, race, nationality, with an intervention objective of diabetes prevention with weight loss as one of the goals. The weakness from these study is the size, as large studies with Meta-Analyses it would be recommended to integrate findings from many studies to ensure that meta-analytic research is desirable and the large body of research now generated makes the conduct of this research feasible.
The second study: Providing Lifestyle Advice to People with Type 2 diabetes from Different Cultures, purpose is to examine how lifestyle advice from healthcare providers will improve cross-cultural interactions, and raise awareness of the cultural challenges, and lack of communication and trust that results in non-adherence to lifestyle changes. The strength in this study would be showing how providing cultural competence may contribute to the delivery of high-quality care. The weakness with this study could be the study participants from Saudi have trust issues, and provided short responses which may not be the true feeling their true experiences.
The third study: A Culturally Adapted Lifestyle Intervention Addressing a Middle Eastern Immigrant Population at Risk for Diabetes, purpose of this study is to show that lifestyle interventions are effective in preventing or delaying the onset of type 2 diabetes in high-risk immigrant populations with different cultural and socioeconomic backgrounds. The strength in this study was studying the design of a culturally adapted lifestyle intervention for the immigrant population, and then evaluate its effectiveness and cost-effectiveness. The weakness of this study being a randomized control method, is the trial participants typically don't represent the population as a whole.
The fourth study: A Randomized Controlled, Pilot Intervention on Diabetes Prevention and HealthyLifestyles in the New York City Korean Community, purpose is to examine important insight in providing ways that programs can tailor the needs for diabetes prevention to meet the needs of vulnerable populations. The weakness with this case is due to a staff turn-over during the study, a loss of follow up was conducted and some data was lost, and the quantitative findings was based on a small number. Overall the study demonstrated high acceptability and suggest efficacy of the interventions aimed at improving health behaviors to promote diabetes prevention among individuals completing the program.
The fifth study: Outcomes of a Latino Community Based Intervention for the Prevention of diabetes, purpose is to examine effectiveness of a community based literacy sensitive, and culturally tailored lifestyle interventions on weight loss and diabetes risk reduction among low-income, Spanish-speaking Latinos at increased risk for diabetes. The strength in this study was showing hoe using culturally sensitive diabetes prevention programs, resulted in weight loss, and improved HbA1c, and improved insulin resistance in high-risk Latino populations. The weakness in this study was that participants in the study did not have their knowledge, attitudes, or expectations measured related to lack of validated measures appropriate for low-literate levels.
The sixth study: Culture and Risk Assessments: Why Latino Americans Perceive Greater risk for diabetes, purpose of this study was to examine understand the ethnic minority cultural factors that influence perceived vulnerability of diabetes. The strength is showing that this study and others have shown that cultural factors influence important outcomes for ethnic minorities, such as health-related behaviors and disease prevention. The weakness with this study was the subscale of behaviors, because one's perceived similarity may influence measures.