To describe our diversity, equity and inclusion (DEI) journey in developing successful targeted OSA educational programs for vulnerable Asian American (AsA) communities in West Michigan.

Obstructive sleep apnea (OSA) is a common, yet underdiagnosed, sleep disorder with major health implications, including stroke and dementia. Asians have increased visceral fat compared to Caucasians, thus have similar prevalence of OSA at a much lower BMI. Multiple unique cultures and languages make providing care for AsA complex.

Culturally-resonant OSA educational materials were created and vetted by community navigators, who self-identified with these different AsA communities. Pre- and post-tests were administered to measure the effectiveness of the educational sessions. DEI insights were obtained via open-ended questions in the survey and post-session reflection among the neurology faculty and residents.

To date, 4 sessions were held for these communities: Cantonese, Mandarin, Nepali, and Vietnamese (59 participants total). Significant improvement (P<0.001) was noted after educational intervention in participant ability to list: ≥1 way to obtain a good night’s sleep (11.5% versus 91.8%), ≥1 reason for a good night's sleep (52.5% versus 88.5%), ≥1 symptom of OSA (1.6% versus 95.1%), how to seek help to diagnose OSA (13.1% versus 80.3%), treatment of OSA (8.2% versus 100%), and the risk of untreated OSA (8.2% versus 91.8%). Open ended survey questions revealed that co-sleeping, sleep room arrangements, and perception on sleep hygiene affected participants' sleep patterns and their perceived need to seek sleep consultation.

Culturally-resonant OSA education sessions to vulnerable West Michigan AsA communities were successfully delivered. Insights into cultural sleeping habits and perceptions tailored OSA discussions to be relevant to underserved AsA participants. Optimal neurologic care and well-being can be met by enhancing awareness and promoting culturally-competent care adapted to the unique needs and experiences of these communities.