Key takeaways
diabetes self-care skills, diabetes
DIABETES
A culturally sensitive diabetes education program combined with peer-led support for improving diabetes self-management outcomes in at-risk communities requires careful consideration of the unique characteristics of each community. Factors such as glycemic control, education level, social cohesion, socioeconomic activities, involvement of local authorities, site conditions, amenities, and selecting leaders with genuine recognition and compelling communication skills are essential for ensuring program appropriateness and success.In smaller, underserved communities with strong social or cultural identities, PLs are vital in establishing diabetes self-care skills. For large urban communities, sectorization with PLs from specific neighborhoods enhances a sense of belonging and recognition within natural community groups. Future research would benefit from including larger and more diverse samples, encompassing both urban and rural populations with different prevailing health statuses, along with extended peer-support interventions to enhance the generalizability of our findings and interpretations.