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200 Assessing Pre-Diabetes Knowledge, Attitudes, & Needs: A Study of the CHW Translational Advisory Board of South Texas

Published online by Cambridge University Press:  03 April 2024

Elisabeth de la Rosa
Affiliation:
University of Texas Health Science Center at San Antonio Institute for Integration of Medicine & Science
Paula Winkler
Affiliation:
South Central AHEC
Ariel Gomez
Affiliation:
South Central AHEC
Belinda Flores
Affiliation:
South Coastal AHEC
Ludivina Hernandez
Affiliation:
South Central AHEC
Sharon Elwin
Affiliation:
Baylor College of Medicine, Center for Innovations in Quality, Effectiveness and Safety
Virginia Lopez
Affiliation:
Community Health Worker TAB
April Kneuper
Affiliation:
Community Health Worker TAB
Vanessa Ortiz
Affiliation:
Research to Advance Community Health Center, UT Health San Antonio
Martha Flores
Affiliation:
Community Health Worker TAB
Raquel Romero
Affiliation:
Research to Advance Community Health Center, UT Health San Antonio
Kathryn E. Kanzler
Affiliation:
Baylor College of Medicine, Center for Innovations in Quality, Effectiveness and Safety
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Abstract

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OBJECTIVES/GOALS: The CHW TAB is exploring pre-diabetes knowledge and perceived needs in south Texas to facilitate the role of CHWs to increase the capacity of community members to better manage their prediabetes diabetes risk. The long-term goal of this project is to show how the diagnosis of pre-diabetes can be managed to prevent type 2 diabetes. METHODS/STUDY POPULATION: We selected a two-pronged approach to gather quantitative and qualitative data. CHW TAB members collected data participated in different aspects of the project (e.g., study design, survey development, etc.). Data collection procedures include Quantitative - a 9-item survey in English and Spanish administered by each participating CHW in 2022 at community events. One hundred surveys were collected. In Phase 2: Qualitative, participants attended focus groups to gather in-depth data about pre-diabetes management, including challenges and opportunities, which will inform CHW-led intervention development. Eight English and one Spanish focus groups, with 65 participants in 6 counties were completed. RESULTS/ANTICIPATED RESULTS: This project is still in progress. Preliminary results show that most survey participants identify as Hispanic, and half have been diagnosed with pre-diabetes. Additionally, 87.8% report that prediabetes is a problem in their community. Preliminary focus group findings indicate that knowledge and support for managing prediabetes is missingin South Texas. Many participants report feeling “doomed” to develop type 2 diabetes but are eager to share their experiences. Additionally, participants report that family and culture play a huge part in their ability to eat healthier foods. DISCUSSION/SIGNIFICANCE: These findings can help identify knowledge gaps, strengths, and areas for promoting and empowering better health behaviors among those who have pre-diabetes. Participant feedback and focus group responses will inform a CHW-led educational intervention through our TAB.

Type
Health Equity and Community Engagement
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
© The Author(s), 2024. The Association for Clinical and Translational Science