Graduation Year


Degree Type

Open Access Capstone

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Molly Bradshaw-O'Neal

Department Affiliation


Second Advisor

Theresa Loan

Department Affiliation




Adult Latino patients with diabetes may require education and skills that are culturally appropriate to achieve optimum results. The purpose of this DNP project was to improve diabetes self-management among Latino and other at-risk adults. The project used an intervention bundle to streamline screening, education, and improve patients’ self- confidence. Adult patients were screened during triage to obtain vital signs and blood glucose levels per the routine at the clinic and via phone to discuss management of diabetes. Implementation of the project included provision of culturally sensitive diabetes education material, culturally sensitive “traffic light” food guide in English and Spanish. The Diabetes Self-Management Questionnaire was the primary tool used before and after the implementation to determine the effect of the intervention. In total, 44 adults participated in the intervention. The results demonstrate a positive impact of the culturally sensitive “traffic light” food guide in participants’ knowledge and selection of healthy food. The nurse practitioners, physician assistant, prelicensure and nurse practitioner students at the clinic were in favor of continued use of the materials. The findings support the use of culturally sensitive food guide to improve diabetes self-management in Latino and a culturally diverse patient population.

Keywords: diabetes, Latino, adults, self- monitoring, blood glucose, A1C