There are more than 3.4 million South Asians in the United States. Among this subgroup, Bangladeshis in New York have a high prevalence of Type 2 diabetes ranging from 15 to 24% compared to the general population. This study examined the effect of acculturation through length of stay in the United States and understanding of the English language, and the role of gender on self-efficacy (SE) and diabetes self-management among 336 New York Bangladeshi immigrants between the ages of 21 and 75 who had been diagnosed with type 2 diabetes with A1C -‰¥ 6.5%, as verified by their medical record for inclusion criteria in the original DREAM study. Health belief model was used as a theoretical framework. The key findings showed a significant relationship between gender and SE levels (p ¤ .0001). Bangladeshi women were 79% less likely to have high SE levels compared to their male counterparts (OR= .212; 95%CI: .099 -.453). Additionally, those who had low education attainment were 68% less likely to develop high SE levels (OR = .323, 95%; CI: .105 -.998). The findings demonstrate the need to understand the influence of social and contextual factors on SE and underscore the importance of integrating a systems approach and ontological lens in the implementation of gender-specific innovative strategies. Such an understanding might help destigmatize diabetes, improve medication adherence, and enhance SE and coping skills for Bangladeshi women across the life span. The findings of this study might provide knowledge to public health practitioners that would help create gender-specific diabetes education and lifestyle management for equity-centered capacity building to alleviate the disproportionate burden of diabetes in Bangladeshi minority women in the United States, ultimately improving health outcomes and reducing healthcare expenditures.

Despite ongoing delivery of teacher professional development (PD), educational leaders in the local district did not have an objective evaluation whether their implementation of the Marzano causal teacher evaluation model and the iObservation tool training were aligned with accepted national standards for PD effectiveness. Using Vygotsky's constructivist theory as the theoretical framework, the purpose of this quantitative descriptive, correlational study was to describe teachers' perceptions of the alignment of the district's PD with national standards and the relationship between teachers' reported self-efficacy and attitudes toward the PD program. A purposive sample of 80 middle school teachers completed the Learning Forward's Standard Assessment Inventory and Kao, Tsai, and Shih's Self-Efficacy and Attitude Survey. The response rate was 33%. Descriptive analysis indicated that teachers perceived and were satisfied with the alignment of the PD to national standards. Correlation analysis revealed strong positive correlations (p < .01) between teachers' self-efficacy ratings and their attitudes toward the PD's alignment with national standards. These findings informed development of a training promoting a shared vision among educational leaders and teachers about the necessity of following national standards when designing and implementing PD. Alignment of teacher PD with national standards might result in positive social change by creating effective trainings for teachers which could, in turn, have a positive influence on educational outcomes over time.