Date of Graduation

Fall 12-16-2022

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Population Health Leadership

First Advisor

Dr. Elena Capella

Second Advisor

Dr. Francine Serafin-Dickson



Background: South Asians from Bangladesh, Pakistan, and India have a higher prevalence of diabetes than the general global population and are also more susceptible to developing diabetes due to biological and lifestyle factors. The South Asian diet is high in refined grains and monounsaturated fatty acids, increasing the risk of diabetes.

Local Problem: Congregants of a Sikh gurdwara (place of worship) lacked knowledge of diet and lifestyle in relation to preventing and managing diabetes. Many senior congregants have been diagnosed with diabetes or are at high risk of developing the disease.

Methods: Knowledge of diabetes prevention and management were assessed pre-and post-intervention for the effects of implementing a culture-specific educational intervention addressing diet and lifestyle for diabetes prevention and management. Responses were collected on a paper-based survey tool with 15 true/false prompts.

Intervention: A two-hour educational curriculum with culture-specific content addressing diet and lifestyle was tailored to the older-adult congregants of the Sikh gurdwara and their families and presented in the Punjabi language. The specific aim was a 25% increase in knowledge from the baseline.

Results: The individual mean score increased by 101.37% from pre- to post-education intervention, which was a significant increase from the goal of 25%.

Conclusions: The project findings demonstrated that the participants gained a better understanding of diabetes education when training was culturally tailored and presented in the participants’ native language.