Date of Award

Fall 12-15-2018

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


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First Advisor

Dr. Sheryl Winn

Second Advisor

Dr. Debbie MacMillan

Third Advisor

Dr. Lynne Moody


Immigrants and refugees represent an underserved population in need of quality, accessible, and culturally appropriate healthcare and education. Diabetes is a chronic condition frequently seen in this population. The author utilized the Wagner Chronic Care Model (CCM) as a theoretical framework for planning diabetes education delivery in this diverse population. Studies report significant health disparities in diabetes care and subsequent poor diabetes quality indicators in refugees and immigrants. Research has found that culturally sensitive diabetes education can improve diabetes outcomes in ethnically diverse populations. The author implemented a translational project to develop and evaluate a video-based diabetes health education intervention translated into English, Arabic, and Hindi to be used in a busy, culturally diverse, primary care waiting room setting. Results showed a statistically significant increase in knowledge of diabetes and high levels of self-efficacy and acceptability following the video intervention. The author suggests video-based health education as a viable educational solution for diabetic adults receiving care at a culturally diverse clinic in Clarkston, Georgia.