TY - JOUR
T1 - Immigrant Community Leaders Identify Four Dimensions of Trust for Culturally Appropriate Diabetes Education and Care
AU - Dahal, Govinda
AU - Qayyum, Adnan
AU - Ferreyra, Mariella
AU - Kassim, Hussein
AU - Pottie, Kevin
N1 - Funding Information:
This study was conducted from the funding support of the Ontario Ministry of Health and Long Term Care and conducted in collaboration with the Champlain Local Health Integration Network. We would also like to acknowledge the expert support from Connie Castaño, Leeza Sharma, and Kirti Kaila each of whom provided feedback on earlier drafts of this paper. Most importantly, the authors would like to thank all focus groups and workshops participants.
Publisher Copyright:
© 2013, Springer Science+Business Media New York.
PY - 2014/10
Y1 - 2014/10
N2 - This paper explores immigrant community leaders’ perspectives on culturally appropriate diabetes education and care. We conducted exploratory workshops followed by focus groups with Punjabi, Nepali, Somali, and Latin American immigrant communities in Ottawa, Ontario. We used the constant comparative method of grounded theory to explore issues of trust and its impact on access and effectiveness of care. Detailed inquiry revealed the cross cutting theme of trust at the “entry” level and in relation to “accuracy” of diabetes information, as well as the influence of trust on personal “privacy” and on the “uptake” of recommendations. These four dimensions of trust stood out among immigrant community leaders: entry level, accuracy level, privacy level, and intervention level and were considered important attributes of culturally appropriate diabetes education and care. These dimensions of trust may promote trust at the patient-practitioner level and also may help build trust in the health care system.
AB - This paper explores immigrant community leaders’ perspectives on culturally appropriate diabetes education and care. We conducted exploratory workshops followed by focus groups with Punjabi, Nepali, Somali, and Latin American immigrant communities in Ottawa, Ontario. We used the constant comparative method of grounded theory to explore issues of trust and its impact on access and effectiveness of care. Detailed inquiry revealed the cross cutting theme of trust at the “entry” level and in relation to “accuracy” of diabetes information, as well as the influence of trust on personal “privacy” and on the “uptake” of recommendations. These four dimensions of trust stood out among immigrant community leaders: entry level, accuracy level, privacy level, and intervention level and were considered important attributes of culturally appropriate diabetes education and care. These dimensions of trust may promote trust at the patient-practitioner level and also may help build trust in the health care system.
KW - Culturally appropriate diabetes education and care
KW - Diabetes
KW - Ethnicity
KW - Immigrants and refugees
KW - Migrant health
KW - Trust
UR - http://www.scopus.com/inward/record.url?scp=84874605215&partnerID=8YFLogxK
U2 - 10.1007/s10903-013-9805-9
DO - 10.1007/s10903-013-9805-9
M3 - Journal Article
C2 - 23471673
AN - SCOPUS:84874605215
SN - 1557-1912
VL - 16
SP - 978
EP - 984
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 5
ER -
