672-P: Comparing Latina Experiences with Diabetes Self-Management Education (DSME) in a Virtual World (VW) vs. the Face-to-Face Format (F2F)

Purpose: To characterize Latina experiences of a Spanish-language DSME program delivered in the VW versus a F2F format.

Methods: Qualitative analysis of transcripts from three semi-structured focus groups conducted with 22 randomly selected Latina women enrolled in the Women in Control (WIC) DSME comparative effectiveness study. Two researchers coded the data and conducted a qualitative thematic analysis. Audio recordings were transcribed verbatim.

Results: A total of 73 Latinas living with uncontrolled type 2 diabetes enrolled in the WIC study with an average age of 52yo, ∼75% had less than a high school diploma and more than 40% reported low health literacy. Four overarching themes were identified and applied to both VW and F2F formats, including (1) the impact of depression on diabetes self-care, (2) strong desire for actionable education (3) high value on peer coaching and positive group culture. One additional theme was identified among VW participants - (4) Positive Technological Development (PTD) - the sense of agency developed through learning to use technology for DSME.

Conclusion: Latina women with diabetes with low health and computer literacy were positively impacted by the Women in Control DSME program both in F2F and in a VW. The VW platform facilitated PTD even among those with very low literacy and computer experience.