Correlates of Self-Care Behaviors in Adults With Type 2 Diabetes and Comorbid Heart Failure

2019 ◽  
Vol 45 (4) ◽  
pp. 380-396 ◽  
Author(s):  
Fekadu B. Aga ◽  
Sandra B. Dunbar ◽  
Tedla Kebede ◽  
Melinda Kay Higgins ◽  
Rebecca A. Gary
Keyword(s):  
Heart Failure ◽  
Type 2 Diabetes ◽  
African American ◽  
Health Outcomes ◽  
African American Men ◽  
Self Care ◽  
Multiple Chronic Conditions ◽  
Foot Care ◽  
And Gender

Purpose The purpose of this study was to describe sociodemographic, clinical, and psychosocial correlates of diabetes self-care behaviors in adults with type 2 diabetes mellitus (T2D) and comorbid heart failure (HF). Method Baseline data of 180 participants from a clinical trial that tested a 6-month integrated self-care intervention for persons with comorbid HF and T2D were analyzed. Correlational bivariate and multiple logistic regression analyses were performed to examine correlates of diabetes self-care behaviors. Result Participants had a mean age of 58 ± 11years; the majority were male (n = 118, 66%) and African American (n = 119, 66%). Number of comorbidities >2 ( P < .001), having more than a high school education ( P < .05), and African American ethnicity ( P < .05) predicted better exercise, self-monitoring blood glucose (SMBG), and foot care behaviors, respectively. The use of an aldosterone inhibitor ( P < .05) predicted worse exercise performance, higher Charlson Comorbidity Index scores ( P < .01) predicted worse SMBG, and treatment with diet plus medication ( P < .05) and dyslipidemia ( P < .001) predicted worse foot care. Conclusion Findings from this study provide new insights into the complex self-care requirements for T2D patients with comorbid HF. Integrated self-care interventions are clearly warranted in persons living with multiple chronic conditions for optimal health outcomes and the prevention of complications. Our sample of predominately African American men showed they had better T2D self-care behaviors than whites than previously reported. Additional research is needed to determine racial and gender differences on health outcomes in persons with T2D and comorbid HF.

scholarly journals Where are they? The inclusion of African-American men in empirical studies of type 2 diabetes self-care management

2015 ◽  
Vol 03 (02) ◽  
pp. 102-114
Author(s):  
Ledric Sherman ◽  
E. McKyer
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Care Management ◽  
Diabetes Management ◽  
African American Men ◽  
Empirical Studies ◽  
Self Care ◽  
High Risk Group ◽  
Qualitative Approaches

Abstract Background: African-American Men experience higher rates of serious complications of diabetes, due in part to poor disease management. Yet it is unclear to what extent research been devoted to type 2 diabetes management in this population. Purpose: A need exists to clarify the extant literature on self-care management (SCM) practices of African-American Men with type 2 diabetes. Materials and Methods: A systematic literature and methodological quality scoring (MQS) using the Garrard matrix method was performed. Low scores (0-1) indicate low representation of African-American men; highest score (3) indicate high inclusion of African-American men in the samples. The search targeted articles focused on type 2 diabetes self-care management, and which included samples of African-American Men. Each publication was reviewed and assigned a MQS by the researchers, who reached 100% concordance with the MQS. Results: Initial screening yielded 122 articles, but only 41 met full study inclusion criteria. These studies represent a combined sample size of 9,171 participants of which less than one-third (3,007; 32.8%) were clearly identifiable as African-American men. Only 7 studies had samples consisting 100% of African-American Men. Mixed methods approaches were used least (n = 9 studies), followed by quantitative approaches (n = 15 studies). Qualitative approaches was most commonly used (n = 17 studies). Most (n = 24) studies scored low (0 to 1 score), indicating low-level of inclusion of African-American Men in their sample. Discussion: In spite of the growing body of literature on managing type 2 diabetes, there is a paucity of information focused on a high-need and high-risk group - African-American Men. The exclusion of this population can result in adverse health consequences, given the high comorbidities associated with uncontrolled diabetes. Conclusion: Including more African-American Men in self-care management studies can help determine the factors affecting research participation among this group as well as to further understand the complexity that these men face regarding managing their diabetes.

scholarly journals Understanding the essence and lived experience of self-care management among African-American men living with type 2 diabetes

2014 ◽  
Vol 02 (02) ◽  
pp. 096-104 ◽  
Author(s):  
Ledric Sherman ◽  
E. McKyer ◽  
John Singer ◽  
Alvin Larke ◽  
Jeffrey Guidry
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Lived Experience ◽  
Care Management ◽  
Diabetes Management ◽  
African American Men ◽  
Critical Role ◽  
Self Care ◽  
Diabetes Research

AbstractPurpose: To explore, understand and describe the lived experience of African-American men (AA men) living with type 2 diabetes, with emphasis on capturing perceptions of challenges, facilitators and perceived barriers associated with self-care management. Materials and Methods: Participants (n = 19) were AA men ages 35-69 years, who were diagnosed with type 2 diabetes. Participants were recruited via community outreach efforts, including barbershops and churches located in predominantly African-American communities in southeast US. Upon consent, individual interviews were conducted, audio-recorded and subsequently transcribed. Transcripts were analyzed using a phenomenological approach, and focused on identifying common themes among the descriptions of AA men′s experiences specific to type 2 diabetes. Results: AA men perceived their experience of managing type 2 diabetes as tedious, complicated, demanding, and frustrating. Common themes included the perception of family histories and personal behaviors as causes or contributors to the development of diabetes, albeit there was lack of clarity regarding biological versus behavioral familial contributions. Other theses included fears related to long-term complications of type 2 diabetes, and the critical role of social support as a factor assisting with self-care management. Limb amputation, insulin injections and vision changes were fears related to having type 2 diabetes. Commensurately, important referent others (e.g., family and close friends) provided critical encouragement and support toward managing their diabetes. Conclusions: Future diabetes research and education should give attention to how masculinity may have a powerful influence on diabetes management behavior among African-American men′s as well as utilizing preventive health services.

scholarly journals A comprehensive literature review of theories and constructs utilized in type 2 diabetes self-care management research involving African-American men

2016 ◽  
Vol 04 (02) ◽  
pp. 127-132
Author(s):  
Ledric Sherman
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Literature Review ◽  
Care Management ◽  
African American Men ◽  
Self Care ◽  
Theoretical Framework ◽  
Management Research

Abstract Introduction: The purpose of this study is to ascertain the extent and quality of theory and theoretical construct utilization among published empirical studies specific to self-care management research involving African-American men living with type 2 diabetes. Materials and Methods: Systematic literature review for peer-reviewed articles was performed. Articles with barriers, facilitators, masculinity, social support, mistrust, behaviors and decision making among this specific group were sought out. Results: Some studies mentioned a specific theoretical framework or model. However, 35 out of fifty studies did not report any use of theoretical framework or model. Conclusions: This paucity of theory utilization points to a breach in the quality of both qualitative and quantitative research in this area with is particular population of men. Researchers either failed to sufficiently use theory or did so but failed to specify how.

Experiences of midlife and older African American men living with type 2 diabetes

2021 ◽  
pp. 1-15
Author(s):  
Anthony Q. Walker ◽  
Christine E. Blake ◽  
Justin B. Moore ◽  
Sara Wilcox ◽  
Kelli DuBois ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
African American Men

A Diabetes Management Program for African American Women With Type 2 Diabetes

2000 ◽  
Vol 26 (5) ◽  
pp. 796-805 ◽  
Author(s):  
Thomas C. Keyserllng ◽  
Alice S. Ammerman ◽  
Carmen D. Samuel-Hodge ◽  
Allyson F. Ingram ◽  
Anne H. Skelly ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
African American ◽  
Randomized Trial ◽  
African American Women ◽  
Diabetes Management ◽  
Self Care ◽  
American Women ◽  
Phone Calls

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.

scholarly journals KNOWLEDGE AND SELFCARE PRACTICES AMONG DIABETICS

2017 ◽  
Vol 10 (12) ◽  
pp. 234
Author(s):  
Sheeba S ◽  
Sneha Ak ◽  
Veena Biju
Keyword(s):  
Type 2 Diabetes ◽  
Survey Design ◽  
Medical Science ◽  
Self Care ◽  
Sampling Technique ◽  
Ideal Body Weight ◽  
Care Practice ◽  
Foot Care ◽  
Care Practices

Objective: The objectives of the study were to assess the knowledge and self-care practices among patients with type 2 diabetes mellitus.Methods: Quantitative approach with descriptive survey design and convenience sampling technique was used. The study was conducted among 100 patients with type 2 diabetes mellitus, from the Inpatient and Outpatient Department of Amrita Institute of Medical Science, Kochi. A structured knowledge questionnaire and structured practice assessment questionnaire were used to assess the knowledge and self-care practices of the subjects.Result: Result shows that 77% subjects had good knowledge regarding diabetes and majorityof the subjects had good level of self-care practices. 63% of subjects regularly monitoring blood glucose level, 72% following proper diet, 88% of subjects taking regular medication, 84% of subjects follow proper eye care, 79% of subjects follow proper foot care, 57% of subjects maintaining ideal body weight, and only 46% of subjects doing regular exercise. There was a positive relationship (r=0.09) between level of knowledge and self-care practice of the subjects and no significant association between knowledge level and selected sociodemographic variables.Conclusion: It is important that the patient should have adequate knowledge regarding diabetes and they should follow proper self-care practices to prevent further complications.

scholarly journals Relationships of diabetes self‐care behaviours to glycaemic control in adults with type 2 diabetes and comorbid heart failure

Nursing Open ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 1453-1467
Author(s):  
Fekadu Aga ◽  
Sandra B. Dunbar ◽  
Tedla Kebede ◽  
Melinda Kay Higgins ◽  
Rebecca Gary
Keyword(s):  
Heart Failure ◽  
Type 2 Diabetes ◽  
Glycaemic Control ◽  
Self Care

scholarly journals “The More I Do, the Better I’ll Be”: The Treatment Preferences of Type 2 Diabetes Among African American Men

2016 ◽  
Vol 12 (4) ◽  
pp. 779-787
Author(s):  
Ledric D. Sherman ◽  
Taliat Fawole
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
African American Men ◽  
Community Outreach ◽  
Prescription Medication ◽  
Phenomenological Approach ◽  
Lifestyle Changes ◽  
Treatment Preferences ◽  
Diet And Exercise

To gain better insight to the preferred methods of managing and treating type 2 diabetes among African American men (AA men). Participants ( n = 19) were AA men aged 35 to 69 years, who were diagnosed with type 2 diabetes. Participants were recruited via community outreach efforts, including barbershops and churches located in predominantly African American communities in Southeast United States. On consent, individual interviews were conducted, audio recorded, and subsequently transcribed. Transcripts were analyzed using a phenomenological approach, and focused on identifying common themes among the descriptions of AA men’s experiences specific to type 2 diabetes. Participants’ statements indicated three main commonalities regarding treatment preferences which were medication, dietary changes, and increase in exercise. Some participants from the study stated that they preferred taking oral medication primarily out of convenience, lack of pain, and how well the medicine makes them feel. Others stated educating themselves and having a consistent relationship with the diabetes physician has assisted them the most. Other participants shared preferences of being dedicated to proper diet and exercise without any medication (pill or injection), as well as maintaining the mental motivation needed to sustain management. Some participants preferred to not take an oral pill, while some did not mind taking pills at all. For some of the participants, it appears that it is easier for them to manage their diabetes by prescription medication than by lifestyle changes such as diet and exercise. Future studies are needed to investigate how social support system also assists these men in managing their diabetes.

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