National & Kapodistrian University of Athens, Greece
Title: Culturally Adapted Education on Diabetes Mellitus in Ethnic Minorities


People who come from ethnic minorities living in developed countries have a higher

incidence of type 2 diabetes mellitus (DM2) than the general population of the country. A high

proportion of this population is required to cope with stressful living conditions, such as linguistic

and cultural barriers, which contribute to the development of DM2. A large proportion of these

people receive sporadic information about their illness from sources that are often unrelated to the

medical profession and therefore have no ability to effectively manage DM2. The purpose of this

systematic review was to investigate whether adapted cultural education in DM2 is more effective

than conventional education as it is provided in a given country. This systematic review included

research studies published in the 2007-2017 period from search databases Medline, Scopus, Cinahl

and PubMed with index words "type 2 diabetes mellitus", "education", "self-management",

“migrant population", "ethnic minorities", "health professionals". Seven studies were reviewed and

evaluated. The majority of them showed that HbA1c was significantly improved at 3 and 6 months

after the adapted cultural intervention. In addition, people's knowledge of the disease in the

intervention team increased significantly. Adapted cultural education in DM2 seemed to be more

effective than the usual education provided in the country. The observed improvement in HbA1c

values and knowledge of the disease was demonstrated in the reviewed studies but due to the small

sample reviewed and included in this systematic review no reliable conclusions can be drawn

regarding its intervention and efficacy. In conclusion, there is a need for large multicentre studies so

that safe conclusions can be drawn about the usefulness and effectiveness of these programs in

these groups of people.

Research Interest

Type 2 diabetes mellitus

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