Date of Paper/Work


Type of Paper/Work

Doctor of Nursing Practice Project

Degree Name

Doctor of Nursing Practice



First Advisor

Gretchen Moen


Doctor of Nursing Practice


The purpose of this project is to implement and evaluate a culturally sensitive patient teaching approach to incorporate autism education during telehealth visits. The project will answer the following question: What is the effect of a culturally sensitive autism education intervention during telehealth visits on Somali-American parents’ knowledge and attitudes about measles, mumps and rubella (MMR) vaccine compared to standard care? The vision for this DNP quality improvement project is to empower families to make decisions rooted in evidence- 5 based information regarding MMR vaccination and the development of autism while respecting cultural beliefs.

Participants for this project consisted of Somali-American parents at least 18 years of age or older. A pre-survey-post-survey design was used with (10) questions and corresponding responses, rated on a Likert scale. Parents completed the pre-survey related to their knowledge of MMR vaccine and autism. The pediatric primary care provider performed the education intervention after reviewing the parents’ pre-survey responses. Parents were also mailed an educational brochure. A pediatric registered nurse (RN) performed the post-survey with the parent one week later. A Somali interpreter was utilized for non-English speaking parents.

Twenty-nine parents completed the pre- and post- survey. Data analysis using both a paired t-test and the Wilcoxon Signed Rank test was used to interpret data results for each question. All 29 parents’ responses to the pre- and post-survey were compared. Analysis of the results showed overall there was a significant statistical change. Data for both the paired t-test and the Wilcoxon Signed rank test showed a p-value of less than 0.05 for each question result, therefore indicating rejection of the null hypothesis.