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Table 1 Challenges and educational needs of adults with T2D

From: Development of a diabetes self-management + mHealth program: tailoring the intervention for a pilot study in a low-income setting in Mexico

Challenges

Educational needs to be addressed in the intervention

Cultural beliefs on T2D causation and treatment

Cause of T2D

Treatment of T2D

Cause and prevention of complications

Challenges to lifestyle modification due to low health literacy, difficulty changing established habits, perceived lack of symptoms/personal agency

Healthy eating and physical activity recommendations

Simplified content, reinforce content over time

Have atmosphere so participants comfortable asking questions

Use of images

Explore personal strategies to fit lifestyle changes into the life

Build confidence in making lifestyle changes

Lack of resources

Uncomplicated and inexpensive meal plans

Emphasize the importance of medical appointments/lab work

Provide glucometers/strips and education on how to use/how to interpret

Lack of family support

Invite family to sessions

Emphasize the importance of healthy eating and exercise for all members of family

Mental health issues

Psychological support/referral

Stress management and coping with T2D