Promoting self-management in patients with diabetes in South Western Sydney: the ACCLAIM study

SWSLHD is culturally diverse, with 36% of the population born overseas and about 50% who speak a language other than English at home. Culturally and linguistically diverse (CALD) migrants are more likely to experience social disadvantage and poorer health status, with rates of chronic diseases approximating that of the host population with increasing acculturation.  The ability of migrants to speak the host language proficiently is an important social capital in improving health literacy and increasing access to health services. However, it is not known if migrants with high levels of self-rated English-language proficiency have comparable health literacy to the host populations. Furthermore, little is known if diabetes knowledge and health literacy translate to self-efficacy and self-management, which is necessary for optimal diabetes control among these patients.

This study aims:

  • To examine the interrelationships among acculturation, diabetes knowledge, self-efficacy, self-management and HbA1c (measure of diabetes control) in patients with diabetes who are native or monolingual English speakers (Group 1), immigrants from NESB with functional English language skills (FELS) (Group 2) and immigrants from NESB without FELS (Group 3) attending the diabetes clinics of Liverpool and Campbelltown hospitals in South West Sydney (SWS) over a 12-month period.
  • To compare the diabetes knowledge of these three groups and correlate it with self-efficacy, health literacy, diabetes self-management and HbA1c levels 


NSW Health Nursing and Midwifery Strategy Reserve Funding $17,472 (2015-2016)

Project Team:

Everett B (CANR), Astorga C (CNC Diabetes Campbelltown), Yogendran D (CNC Diabetes Liverpool), Maneze D (Health Promotion Officer Ingleburn Community Health Centre)

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