Aspects Of The Sociocultural Context And Self-Care Practices In Older African American Women With Type 2 Diabetes

PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.

Download Full-text

Controlled Trial of Nursing Interventions to Improve Health Outcomes of Older African American Women With Type 2 Diabetes

Nursing Research ◽

10.1097/nnr.0b013e3181bee597 ◽

2009 ◽

Vol 58 (6) ◽

pp. 410-418 ◽

Cited By ~ 25

Author(s):

Anne H. Skelly ◽

John Carlson ◽

Jennifer Leeman ◽

April Soward ◽

Dorothy Burns

Keyword(s):

Type 2 Diabetes ◽

African American ◽

Health Outcomes ◽

African American Women ◽

Controlled Trial ◽

Nursing Interventions ◽

American Women ◽

Older African American Women ◽

Improve Health

Download Full-text

Development of a health status measure for older African-American women with type 2 diabetes

Diabetes Care ◽

10.2337/diacare.23.3.325 ◽

2000 ◽

Vol 23 (3) ◽

pp. 325-329 ◽

Cited By ~ 14

Author(s):

T. A. Elasy ◽

C. D. Samuel-Hodge ◽

R. F. DeVellis ◽

A. H. Skelly ◽

A. S. Ammerman ◽

...

Keyword(s):

Type 2 Diabetes ◽

African American ◽

Health Status ◽

African American Women ◽

Health Status Measure ◽

American Women ◽

Older African American Women ◽

Status Measure

Download Full-text

Impact of Distress Reduction on Behavioral Correlates and A1C in African American Women with Uncontrolled Type 2 Diabetes: Results from EMPOWER

Ethnicity & Disease ◽

10.18865/ed.27.2.155 ◽

2017 ◽

Vol 27 (2) ◽

pp. 155 ◽

Cited By ~ 2

Author(s):

Doyle M. Cummings ◽

Lesley D. Lutes ◽

Kerry Littlewood ◽

Chelsey Solar ◽

Bertha Hambidge ◽

...

Keyword(s):

Type 2 Diabetes ◽

African American ◽

Medication Adherence ◽

Glycemic Control ◽

African American Women ◽

Self Efficacy ◽

Self Care ◽

Behavioral Correlates ◽

American Women

Objective: Symptoms of emotional distress related to diabetes have been associated with inadequate self-care behaviors, medication non-adherence, and poor glycemic control that may predispose patients to premature death. African American women, in whom diabetes is more common and social support is often insufficient, may be at particularly high risk. The objective of this study was to examine the impact of lowering diabetes-related emotional distress on glycemic control and associated behavioral correlates in rural African American women with uncontrolled type 2 diabetes (T2D).Design: Post-hoc analysis of prospective, randomized, controlled trial.Setting: Rural communities in the southeastern United States.Patients: 129 rural middle-aged African American women with uncontrolled type 2 diabetes (T2D)(A1C ≥ 7.0).Primary Independent Variable: Diabetes-related distress.Main Outcome Measures: Changes from baseline to 12-month follow-up in diabetes-related distress, and associated changes in medication adherence, self-care activities, self-efficacy, and glycemic control (A1C).Results: Patients with a reduction in diabetes-related distress (n=79) had significantly greater improvement in A1C, medication adherence, self-care activities, and self-efficacy compared with those in whom diabetes distress worsened or was unchanged (n=50). Changes in distress were also significantly and inversely correlated with improvements in medication adherence, self-care activities, and self-efficacy.Conclusions: Among rural African American women, reductions in diabetes-related distress may be associated with lower A1C and improvements in self-efficacy, self-care behaviors, and medication adherence.Ethn Dis. 2017;27(2):155-160; doi:10.18865/ed.27.2.155.

Download Full-text