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Claudia Mews

Tel. 040 – 7410 56854

Fax 040 – 7410 53681

Zentrum für Psychosoziale Medizin

Institut für Allgemeinmedizin

Gebäude W37

Martinistr. 52

20246 Hamburg

 

Projektleitung:

Prof. Dr. Martin Scherer

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Development and evaluation of a training program to foster the self-management competence of illiterate patients with diabetes mellitus of Turkish origin (SITD)

Background

In Germany, the prevalence of Diabetes mellitus type 2 (DM2) lies at approximately 7%. There are few studies on the DM2 prevalence among patients of Turkish origin, but they show a prevalence that is at least twice as high. As important DM2 risk factors such as malnutrition and sedentary lifestyle correlate with socioeconomic factors, many persons of Turkish origin are exposed to an above-average risk of DM2. The existing training programs are of little effectiveness for them, as the requirements of understanding (e.g. reading and writing skills) are often lacking.

 

Aims

The aim of the project is to develop, test and evaluate a culture-sensitive training program for patients with DM2 of Turkish origin which is oriented to the needs of the target program, is ready for use, and can be provided to practices. In contrast to the training programs existing so far, this training program should be attuned to the specific needs of illiterate patients with DM2 and a Turkish migration background and the focus should be on the use of non-written materials. It should vividly impart to the patients the essential aspects of dealing with their illness, and through an increased self-management competence, bring about a higher motivation for an appropriate lifestyle.

 

Methods

Following a literature review, surveys of experts who are experienced in the training of the target group, of patients and of employees of various institutions of the health system will take place. The foundations and the content-based and didactic arrangement of the training modules will be determined and developed in a one-day workshop. Following the testing of the modules, the final training and evaluation materials will be compiled. The cooperating diabetes counsellors will be trained, familiarized with the evaluation materials and will conduct the training. A sample size of N=70 diabetics of both sexes with Turkish origin and a low educational level will be sought. An examination regarding diabetes knowledge and behaviour observation will be carried out with the participants, and they will be surveyed with respect to acceptance and comprehensibility. Following the assessment of the evaluation materials, the experiences will be discussed and analysed in focus groups and the training concept will be revised.




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