PMID- 33350356 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211204 IS - 1552-7832 (Electronic) IS - 1043-6596 (Linking) VI - 32 IP - 6 DP - 2021 Nov TI - Facilitated Stories for Change: Digital Storytelling as a Tool for Engagement in Facilitated Discussion for Reduction of Diabetes-Related Health Disparities Among Rural Latino Patients With Diabetes. PG - 707-715 LID - 10.1177/1043659620980816 [doi] AB - INTRODUCTION: Latino populations, particularly those living in rural areas, experience a disproportionately high prevalence and poorer outcomes of type 2 diabetes mellitus (T2DM). The purpose of this study was to test the acceptability and perceived effectiveness of a group-based, facilitated digital storytelling intervention for T2DM self-management among rural Latino patients. METHOD: Twenty Latino adults with T2DM participated in facilitated storytelling discussions at two primary clinics. Participants viewed a 12-minute T2DM self-management digital storytelling intervention, followed by a facilitated group discussion. Surveys, observations, and focus groups were used to assess for acceptability and perceived effectiveness of the intervention through descriptive and qualitative analysis, informed by narrative and social cognitive theory. RESULTS: All participants found the intervention interesting and useful and reported improvement in confidence, motivation, and behavioral intentions for T2DM self-management. Themes mapped closely with narrative theory models, further suggestive of the behavior change potential. DISCUSSION: Facilitated discussions may add value to viewing of digital stories and represent a scalable approach to provide culturally congruent health care for Latino patients with diabetes in rural settings. Within the paradigm of group-based diabetes educational programs, this lends itself well to critical transcultural nursing care. FAU - Carlson, Lauren Mary AU - Carlson LM AD - United Family Medicine Residency Program, St. Paul, MN, USA. FAU - Ridgeway, Jennifer L AU - Ridgeway JL AUID- ORCID: 0000-0001-7658-6763 AD - Mayo Clinic, Rochester, MN, USA. FAU - Asiedu, Gladys B AU - Asiedu GB AD - Mayo Clinic, Rochester, MN, USA. FAU - Wieland, Mark L AU - Wieland ML AD - Mayo Clinic, Rochester, MN, USA. FAU - Sia, Irene G AU - Sia IG AD - Mayo Clinic, Rochester, MN, USA. FAU - Porraz Capetillo, Graciela AU - Porraz Capetillo G AD - Mayo Clinic, Rochester, MN, USA. FAU - Bernard, Matthew E AU - Bernard ME AD - Mayo Clinic, Rochester, MN, USA. FAU - Hanza, Marcelo M AU - Hanza MM AD - Mayo Clinic, Rochester, MN, USA. FAU - Njeru, Jane W AU - Njeru JW AUID- ORCID: 0000-0001-9974-287X AD - Mayo Clinic, Rochester, MN, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201222 PL - United States TA - J Transcult Nurs JT - Journal of transcultural nursing : official journal of the Transcultural Nursing Society JID - 9001407 MH - Communication MH - *Diabetes Mellitus, Type 2/therapy MH - Hispanic or Latino MH - Humans MH - Narration MH - Rural Population OTO - NOTNLM OT - Latino OT - diabetes mellitus OT - digital storytelling OT - facilitated discussion OT - health disparities EDAT- 2020/12/23 06:00 MHDA- 2021/11/25 06:00 CRDT- 2020/12/22 08:43 PHST- 2020/12/23 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2020/12/22 08:43 [entrez] AID - 10.1177/1043659620980816 [doi] PST - ppublish SO - J Transcult Nurs. 2021 Nov;32(6):707-715. doi: 10.1177/1043659620980816. Epub 2020 Dec 22.