Degree Type

Open Access Capstone

Publication Date

Spring 5-19-2026

Abstract

Type 2 diabetes disproportionately affects Black adults in Hampden County, Massachusetts, where higher rates of diabetes-related morbidity and mortality are driven by structural barriers including unreliable transportation, limited access to primary care, and the effects of systemic inequities. This review aimed to evaluate evidence-based strategies to address these disparities and identify a feasible intervention to improve diabetes outcomes in this population. A literature review was conducted using the CINAHL database following PRISMA guidelines, yielding 7 peer-reviewed articles focused on diabetes management, access to healthcare, and telehealth utilization among underserved populations. Findings consistently demonstrate that transportation barriers and reduced availability of healthcare access contribute to delays in care, poor glycemic control, and diabetes-related complications. The literature also found consistency in the effectiveness of telehealth intervention on improving diabetes management and clinical outcomes. Based on these findings, a culturally tailored telehealth diabetes management program is proposed to address structural barriers and improve diabetes outcomes for Black adults with diabetes in Hampden County. Policy analysis supports the expansion of telehealth reimbursement and targeted funding to enhance implementation success. While telehealth presents a promising solution, challenges including digital literacy and long-term sustainability must be addressed. Coordinated efforts across clinical practice, community engagement, and policy are essential to reduce disparities and improve health equity in Hampden County.

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