PMID- 25995623
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150521
LR  - 20240322
IS  - 1177-889X (Print)
IS  - 1177-889X (Electronic)
IS  - 1177-889X (Linking)
VI  - 9
DP  - 2015
TI  - Improving access to shared decision-making for Hispanics/Latinos with 
      inadequately controlled type 2 diabetes mellitus.
PG  - 619-25
LID - 10.2147/PPA.S80552 [doi]
AB  - 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.
FAU - Davidson, Jaime A
AU  - Davidson JA
AD  - Touchstone Diabetes Center, University of Texas Southwestern Medical Center, 
      Dallas, TX, USA.
FAU - Rosales, Aracely
AU  - Rosales A
AD  - Rosales Communications, Philadelphia, PA, USA.
FAU - Shillington, Alicia C
AU  - Shillington AC
AD  - EPI-Q, Inc., Oakbrook, IL, USA.
FAU - Bailey, Robert A
AU  - Bailey RA
AD  - Health Economics and Outcomes Research, Janssen Scientific Affairs, LLC, Raritan, 
      NJ, USA.
FAU - Kabir, Chris
AU  - Kabir C
AD  - EPI-Q, Inc., Oakbrook, IL, USA.
FAU - Umpierrez, Guillermo E
AU  - Umpierrez GE
AD  - Division of Endocrinology and Metabolism, Emory University, Atlanta, Georgia, GA, 
      USA.
LA  - eng
PT  - Journal Article
DEP - 20150430
PL  - New Zealand
TA  - Patient Prefer Adherence
JT  - Patient preference and adherence
JID - 101475748
PMC - PMC4425339
OTO - NOTNLM
OT  - Hispanic
OT  - decision making
OT  - language adaptation
OT  - patient decision aid
OT  - type 2 diabetes
EDAT- 2015/05/23 06:00
MHDA- 2015/05/23 06:01
PMCR- 2015/04/30
CRDT- 2015/05/22 06:00
PHST- 2015/05/22 06:00 [entrez]
PHST- 2015/05/23 06:00 [pubmed]
PHST- 2015/05/23 06:01 [medline]
PHST- 2015/04/30 00:00 [pmc-release]
AID - ppa-9-619 [pii]
AID - 10.2147/PPA.S80552 [doi]
PST - epublish
SO  - Patient Prefer Adherence. 2015 Apr 30;9:619-25. doi: 10.2147/PPA.S80552. 
      eCollection 2015.