PMID- 28592205 OWN - NLM STAT- MEDLINE DCOM- 20180501 LR - 20221207 IS - 1554-6063 (Electronic) IS - 0145-7217 (Print) IS - 0145-7217 (Linking) VI - 43 IP - 4 DP - 2017 Aug TI - Pilot Feasibility Study of a Digital Storytelling Intervention for Immigrant and Refugee Adults With Diabetes. PG - 349-359 LID - 10.1177/0145721717713317 [doi] AB - Purpose The purpose of this pilot feasibility project was to examine the potential effectiveness of a digital storytelling intervention designed through a community-based participatory research (CBPR) approach for immigrants and refugees with type 2 diabetes mellitus (T2DM). Methods The intervention was a 12-minute culturally and linguistically tailored video consisting of an introduction, 4 stories, and a concluding educational message. A structured interview was used to assess the intervention for acceptability, interest level, and usefulness among 25 participants with T2DM (15 Latino, 10 Somali) across 5 primary care clinical sites. After watching the video, participants rated their confidence and motivation about managing T2DM as a result of the intervention. Baseline A1C and follow-up values (up to 6 months) were abstracted from medical records. Results All participants reported that the intervention got their attention, was interesting, and was useful; 96% reported that they were more confident about managing their T2DM than before they watched the video, and 92% reported that the video motivated them to change a specific behavior related to T2DM self-management. The mean baseline A1C level for the intervention participants was 9.3% (78 mmol/mol). The change from baseline to first follow-up A1C level was -0.8% (-10 mmol/mol) ( P < .05). Conclusions Implementation of a digital storytelling intervention for T2DM among immigrant populations in primary care settings is feasible and resulted in self-rated improvement in psychosocial constructs that are associated with healthy T2DM self-management behaviors, and there was some evidence of improvement in glycemic control. A large-scale efficacy trial of the intervention is warranted. FAU - Wieland, Mark L AU - Wieland ML AD - Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota (Dr Wieland, Dr Njeru). FAU - Njeru, Jane W AU - Njeru JW AD - Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota (Dr Wieland, Dr Njeru). FAU - Hanza, Marcelo M AU - Hanza MM AD - Department of Development, Mayo Clinic, Rochester, Minnesota (Mr Hanza). FAU - Boehm, Deborah H AU - Boehm DH AD - Minneapolis Medical Research Foundation, Minneapolis, Minnesota (Dr Boehm, Ms Guzman-Corrales, Dr Sandler). FAU - Singh, Davinder AU - Singh D AD - Mountain Park Health Center, Phoenix, Arizona (Dr Singh, Ms Hernandez). FAU - Yawn, Barbara P AU - Yawn BP AD - Department of Research, Olmsted Medical Center, Rochester, Minnesota (Dr Yawn). FAU - Patten, Christi A AU - Patten CA AD - Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr Patten, Dr Clark). FAU - Clark, Matthew M AU - Clark MM AD - Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota (Dr Patten, Dr Clark). FAU - Weis, Jennifer A AU - Weis JA AD - Department of Research Administration, Mayo Clinic, Rochester, Minnesota (Ms Weis, Ms Goodson). AD - Center for Clinical and Translational Science, Mayo Clinic, Rochester, Minnesota (Ms Weis). FAU - Osman, Ahmed AU - Osman A AD - Somali Community Resettlement Services, Rochester, Minnesota (Mr Osman, Mr. Hared). FAU - Goodson, Miriam AU - Goodson M AD - Department of Research Administration, Mayo Clinic, Rochester, Minnesota (Ms Weis, Ms Goodson). FAU - Porraz Capetillo, Maria D AU - Porraz Capetillo MD AD - Language Services, Mayo Clinic, Rochester, Minnesota (Ms Porraz- Capetillo). FAU - Hared, Abdullah AU - Hared A AD - Somali Community Resettlement Services, Rochester, Minnesota (Mr Osman, Mr. Hared). FAU - Hasley, Rachel AU - Hasley R AD - Community Health Services, Inc, Rochester, Minnesota (Ms Hasley). FAU - Guzman-Corrales, Laura AU - Guzman-Corrales L AD - Language Services, Mayo Clinic, Rochester, Minnesota (Ms Porraz- Capetillo). AD - Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota (Mr Novotny, Dr Sloan). AD - Minneapolis Medical Research Foundation, Minneapolis, Minnesota (Dr Boehm, Ms Guzman-Corrales, Dr Sandler). FAU - Sandler, Rachel AU - Sandler R AD - Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota (Dr Sia). AD - Minneapolis Medical Research Foundation, Minneapolis, Minnesota (Dr Boehm, Ms Guzman-Corrales, Dr Sandler). FAU - Hernandez, Valentina AU - Hernandez V AD - Mountain Park Health Center, Phoenix, Arizona (Dr Singh, Ms Hernandez). FAU - Novotny, Paul J AU - Novotny PJ AD - Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota (Mr Novotny, Dr Sloan). FAU - Sloan, Jeff A AU - Sloan JA AD - Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota (Mr Novotny, Dr Sloan). FAU - Sia, Irene G AU - Sia IG AD - Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota (Dr Sia). LA - eng GR - UL1 TR000135/TR/NCATS NIH HHS/United States PT - Evaluation Study PT - Journal Article DEP - 20170607 PL - United States TA - Diabetes Educ JT - The Diabetes educator JID - 7701401 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (hemoglobin A1c protein, human) MH - Adult MH - Blood Glucose/analysis MH - Community-Based Participatory Research MH - Diabetes Mellitus, Type 2/blood/*psychology/therapy MH - Emigrants and Immigrants/*psychology MH - Feasibility Studies MH - Female MH - Glycated Hemoglobin/analysis MH - Hispanic or Latino/psychology MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - Narration MH - Patient Education as Topic/*methods MH - Pilot Projects MH - Refugees/*psychology MH - Self Care/methods/*psychology MH - Somalia/ethnology MH - Video Recording PMC - PMC5834233 MID - NIHMS944928 COIS- Conflict of interest: None EDAT- 2017/06/09 06:00 MHDA- 2018/05/02 06:00 PMCR- 2018/03/02 CRDT- 2017/06/09 06:00 PHST- 2017/06/09 06:00 [pubmed] PHST- 2018/05/02 06:00 [medline] PHST- 2017/06/09 06:00 [entrez] PHST- 2018/03/02 00:00 [pmc-release] AID - 10.1177/0145721717713317 [doi] PST - ppublish SO - Diabetes Educ. 2017 Aug;43(4):349-359. doi: 10.1177/0145721717713317. Epub 2017 Jun 7.