Pilot Feasibility Study of a Digital Storytelling Intervention for Immigrant and Refugee Adults With Diabetes

Mark L. Wieland, Jane W. Njeru, Marcelo M. Hanza, Deborah H. Boehm, Davinder Singh, Barbara P. Yawn, Christi A. Patten, Matthew M. Clark, Jennifer A. Weis, Ahmed Osman, Miriam Goodson, Maria D. Porraz Capetillo, Abdullah Hared, Rachel Hasley, Laura Guzman-Corrales, Rachel Sandler, Valentina Hernandez, Paul J. Novotny, Jeff A. Sloan, Irene G. Sia

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Purpose: The purpose of this pilot feasibility project was to examine the potential effectiveness of a digital storytelling intervention designed through a community-based participatory research (CBPR) approach for immigrants and refugees with type 2 diabetes mellitus (T2DM). Methods: The intervention was a 12-minute culturally and linguistically tailored video consisting of an introduction, 4 stories, and a concluding educational message. A structured interview was used to assess the intervention for acceptability, interest level, and usefulness among 25 participants with T2DM (15 Latino, 10 Somali) across 5 primary care clinical sites. After watching the video, participants rated their confidence and motivation about managing T2DM as a result of the intervention. Baseline A1C and follow-up values (up to 6 months) were abstracted from medical records. Results: All participants reported that the intervention got their attention, was interesting, and was useful; 96% reported that they were more confident about managing their T2DM than before they watched the video, and 92% reported that the video motivated them to change a specific behavior related to T2DM self-management. The mean baseline A1C level for the intervention participants was 9.3% (78 mmol/mol). The change from baseline to first follow-up A1C level was −0.8% (−10 mmol/mol) (P <.05). Conclusions: Implementation of a digital storytelling intervention for T2DM among immigrant populations in primary care settings is feasible and resulted in self-rated improvement in psychosocial constructs that are associated with healthy T2DM self-management behaviors, and there was some evidence of improvement in glycemic control. A large-scale efficacy trial of the intervention is warranted.

Original languageEnglish (US)
Pages (from-to)349-359
Number of pages11
JournalDiabetes Educator
Issue number4
StatePublished - Aug 1 2017

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Health Professions (miscellaneous)


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