A Culturally Adapted Diabetes Prevention Intervention in the New York City Sikh Asian Indian Community Leads to Improvements in Health Behaviors and Outcomes

Sikh Asian Indians are an underserved, minority group demonstrating high rates of diabetes. Community health workers (CHWs) are effective in addressing health disparities by reaching socially and linguistically isolated populations. There are no culturally adapted programs for diabetes prevention among Sikh Asian Indians, thus, this study tests the efficacy of a culturally tailored CHW intervention to improve diabetes prevention-related outcomes among Sikh Asian Indians at risk for diabetes. A quasi-experimental two-arm intervention among Sikh Asian Indian adults at risk for diabetes and living in New York City (n = 160) was conducted in 2013-2014. The treatment group received six monthly CHW group education sessions and ten follow-up phone calls; the control group received the first session. Main outcome categories included weight, body mass index (BMI), blood pressure (BP), physical activity (PA), diet, and health self-efficacy. Positive and significant changes in weight, BMI, and diabetes prevention-related indicators were seen among both study groups. However, only treatment group participants showed significant changes over time for weight, BMI, PA self-efficacy, and health-related self-efficacy. Significant between-group differences were seen in adjusted analyses for weight, BMI, systolic BP, total weekly PA, PA self-efficacy, PA social interaction, portion control, barriers to healthy eating, and health self-efficacy. At 6 months, treatment participants were more likely to lose ≥ 5% and ≥ 7% of their weight compared to control participants (p = .071, and p = .015, respectively). Findings demonstrate that a culturally adapted CHW diabetes prevention program in the Sikh community is efficacious, adding to the growing literature on CHWs’ capacity to address health inequity among underserved populations

Patterns of Access and Use of Online Health Information among Internet Users: A Case Study

Internet and Information Technology have contributed immensely to an ever-changing information structure, especially in healthcare. Medical practitioners, healthcare professionals and health communication researchers alike find themselves in an evolving discourse of aware and empowered health consumers instead of patients. Increasingly, health is being looked upon as an individual responsibility, and health information is playing an important role for responsible health seekers. The basic purpose of this study was to explore factors that are related to or predictive of patterns of access and use of online health information among Internet users in Northeast Ohio. In addition, the study examined the relationship between behavior modifications and access to online health information, as well as sources of online health information and credibility of sources. Of the 521 respondents of this study, 441 were health seekers. The results of the study showed that ease of information seeking, feeling empowered, self-health management and support from the online community were powerful motivators for health seekers. The study showed a positive relationship between health-related behavior modifications and access to online health information. Results also showed that health seekers are more likely to choose sources of online health information that can generally be considered reliable. Additionally, the study showed a positive relationship between access to online health information and Internet self-efficacy of health seekers. The study showed that people are more likely to access online health information if they suffer from chronic disease or disability, if their loved ones suffer from chronic disease or disability and if they suffer from nagging health concerns. Access to online health information was explained by feelings of empowerment, support from the online community, cognitive involvement, and lower age. Use of online health information was explained by ease of information seeking, feelings of empowerment, support from the online community and the positive outcomes related to use of Internet for networking and learning. For health communicators and health professionals, findings confirm the emergence of an empowered consumer, and hence imply that in content and in format, health information will have to cater to an increasingly involved and aware audience. Health information from online sources is a significant component of people\u27s self-health plan and results show a positive relationship between health-related behavior modifications and online health information. Health professionals and health consumers should work together to integrate online health information into a larger overall health plan

Patterns of Access and Use of Online Health Information among Internet Users: A Case Study

Internet and Information Technology have contributed immensely to an ever-changing information structure, especially in healthcare. Medical practitioners, healthcare professionals and health communication researchers alike find themselves in an evolving discourse of aware and empowered health consumers instead of patients. Increasingly, health is being looked upon as an individual responsibility, and health information is playing an important role for responsible health seekers. The basic purpose of this study was to explore factors that are related to or predictive of patterns of access and use of online health information among Internet users in Northeast Ohio. In addition, the study examined the relationship between behavior modifications and access to online health information, as well as sources of online health information and credibility of sources. Of the 521 respondents of this study, 441 were health seekers. The results of the study showed that ease of information seeking, feeling empowered, self-health management and support from the online community were powerful motivators for health seekers. The study showed a positive relationship between health-related behavior modifications and access to online health information. Results also showed that health seekers are more likely to choose sources of online health information that can generally be considered reliable. Additionally, the study showed a positive relationship between access to online health information and Internet self-efficacy of health seekers. The study showed that people are more likely to access online health information if they suffer from chronic disease or disability, if their loved ones suffer from chronic disease or disability and if they suffer from nagging health concerns. Access to online health information was explained by feelings of empowerment, support from the online community, cognitive involvement, and lower age. Use of online health information was explained by ease of information seeking, feelings of empowerment, support from the online community and the positive outcomes related to use of Internet for networking and learning. For health communicators and health professionals, findings confirm the emergence of an empowered consumer, and hence imply that in content and in format, health information will have to cater to an increasingly involved and aware audience. Health information from online sources is a significant component of people\u27s self-health plan and results show a positive relationship between health-related behavior modifications and online health information. Health professionals and health consumers should work together to integrate online health information into a larger overall health plan