Document Type

DNP Project


School of Nursing

Date of Degree

Spring 2023


Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Quiping Zhou


Diabetes; Prevention Program; Community Pharmacy


Background: Hispanics are 70% more likely to be diagnosed with diabetes and twice as likely to experience complications related to this disease than non-Hispanic whites (CDC, 2021). Currently there is consistent evidence supporting that community-based educational initiatives called cultural and linguistically appropriate services (CLAS) have a significant impact on Body Mass Index (BMI) in Hispanic populations. The CLAS standards are intended to advance health equity, improve quality, and help eliminate health care disparities. Yet, CLAS has not been implemented in some areas in Dallas, Texas.

Purpose: To implement a community-based educational program based on CLAS to increase participants’ knowledge regarding prevention of type 2 diabetes, increase physical activity and make healthier food choices.

Methods: A diabetes prevention education program, based on the Center for Disease Control and Prevention’s Diabetes Prevention Program and tailored to the Hispanic community, was implemented at a local community pharmacy in Dallas, Texas. A convenient sample of 35 Hispanic adult participants attended either an in person or virtual 45 minutes education program provided by a bilingual nurse practitioner (DNP student). Diabetes knowledge, diet, and physical activity level were measured using a pre/posttest study design.

Results:29 people completed both pre-test and post-test. On the Starr County Diabetes Knowledge Questionnaire, participants’ score increased from 61.49% to 69.68% (8.19% gain) from pre-test to post-test, t=3.521 and p

Conclusion: Implementing an evidence-based diabetes prevention program in a Hispanic community resulted in a significant increase in diabetes knowledge, but not significant changes in dietary habits or physical activity due to limited sample size and short observation duration.

Open Access




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