Our project’s aim is to improve diabetes self-management and health outcomes for thirty six limited English proficient (Spanish, Somali, Amharic, Cambodian and Vietnamese speakers) Harborview patients with uncontrolled diabetes. In addition, the navigators will continue to provide support to 78 patients recruited into the program over the last two years.
For two years, two bilingual/bi-cultural diabetes navigators have provided case management, cultural mediation, navigation, advocacy and interpretation to program participants. With each individual, the navigators have focused on the following: assisting each person to develop in-depth understanding of diabetes and how it fits in their lives; assisting health care providers to tailor the treatment plan to each participant’s culture and life situation; assisting individuals to set realistic goals addressing eating and physical activity habits; and reinforcing the importance of medication management. The navigators have participated in medical visits and placed telephone contacts with their patients. They focused on educating medical center providers on the culture, life experiences, unique challenges and expectations of their patients. These two navigators will each add 12 new patients with uncontrolled diabetes to their caseloads. To expand the program’s reach into new linguistic and cultural communities, each of the six Caseworker/ Cultural Mediators (CCMs) now working within Harborview’s Community House Calls program will also provide navigation, care management, education and support to two patients with uncontrolled diabetes.
In addition to recruiting new patients, the program will continue to support 78 Latino and Somali patients from the first two cohorts. The extended contact will serve to monitor patient self-management, reinforce new positive behaviors and troubleshoot as needed. Harborview will hold day long workshops for each language group that would include a diabetes healthy meal that was prepared and eaten together, culturally congruent didactic diabetes education and an exercise component.
Last year, the EthnoMed team created a web-based educational video that addresses diabetes in the Ethiopian community. The Amharic-language patient education tool is culturally-tailored and relevant to Ethiopian patients with diabetes. We will tailor that tool further for other cultural and linguistic communities from the Horn of Africa. Tailoring and translation will occur for Oromo- and Tigrigna-speaking communities.
Harborview Medical Center
Harborview Medical Center is the only designated Level 1 adult and pediatric trauma and burn center in the state of Washington and serves as the regional trauma and burn referral center for Alaska, Montana and Idaho. UW Medicine physicians and staff based at Harborview provide highly specialized services for vascular, orthopedics, neurosciences, ophthalmology, behavioral health, HIV/AIDS and complex critical care. Harborview has a specific mission to care for the community’s most vulnerable patients.