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Immigrant Community Leaders Identify Four Dimensions of Trust for Culturally Appropriate Diabetes Education and Care

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Abstract

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.

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Acknowledgments

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.

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Institute of Population Health, University of Ottawa, 1 Stewart Street, Room 231, Ottawa, ON, K1N 6N5, Canada

    Govinda Dahal

  2. University of Ottawa, Ottawa, Canada

    Adnan Qayyum

  3. Department of Family Medicine, University of Ottawa, Ottawa, Canada

    Mariella Ferreyra

  4. Carleton University, Ottawa, Canada

    Hussein Kassim

  5. Departments of Family Medicine and Epidemiology and Community Medicine, Centre for Global Health at the Institute of Population Health, University of Ottawa, 1 Stewart Street, Room 231, Ottawa, ON, K1N 6N5, Canada

    Kevin Pottie

Authors
  1. Govinda Dahal
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  2. Adnan Qayyum
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  3. Mariella Ferreyra
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  4. Hussein Kassim
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  5. Kevin Pottie
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Corresponding author

Correspondence to Kevin Pottie.

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Dahal, G., Qayyum, A., Ferreyra, M. et al. Immigrant Community Leaders Identify Four Dimensions of Trust for Culturally Appropriate Diabetes Education and Care. J Immigrant Minority Health 16, 978–984 (2014). https://doi.org/10.1007/s10903-013-9805-9

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  • DOI: https://doi.org/10.1007/s10903-013-9805-9

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