scholarly journals Diabetes Education, Specialty Care, and Self-Care Advice among Obese African American Women with Type 2 Diabetes

2016 ◽  
Vol 26 (2) ◽  
pp. 229
Author(s):  
Stephania T. Miller ◽  
Jennifer Cunningham-Erves ◽  
Sylvie A. Akohoue
Keyword(s):  
Physical Activity ◽  
African American ◽  
African American Women ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Self Care ◽  
Specialty Care ◽  
American Women ◽  
Provider Advice

<p><strong>Objective</strong>: Healthy People 2020 (HP2020) includes benchmarks for diabetes management. The objective of our study was to describe diabetes management among African American women, a patient group that carries a disproportionate diabetes burden.</p><p><strong>Design:</strong> Cross-sectional survey study.</p><p><strong>Participants:</strong> African American women with type 2 diabetes enrolled in dietary and weight management interventions.</p><p><strong>Main Outcome Measures:</strong> Self-report assessments of diabetes education, specialty care, self-care behaviors and advice. Associations between diabetes self-care behaviors and diabetes advice using Chi-square tests.</p><p><strong>Results:</strong> Among 96 participants (age = 53 ± 9.4; BMI = 37.9 ± 7.3 kg/m2), reported diabetes education and foot exams were lower than HP2020 benchmarks, 48.9% vs 62.5% and 35.1% vs 74.8%, respectively and higher for dilated eye exams (70.1% vs 58.7%). The most frequently reported dietary advice was to increase fruit/ vegetable intake (58%) and approximately 50% reported physical activity advice. Receiving no exercise advice was associated with greater odds of little or no physical activity (OR = 3.38) and planned exercises (OR = 2.65).</p><p><strong>Conclusion:</strong> Receipt of diabetes education and some specialty care were below national benchmarks while health care provider advice influenced patient self-care behaviors. Increasing diabetes education and specialty care should be included within existing efforts to address the excess diabetes burden experienced by African American women. Longitudinal studies exploring the relationship between health care provider advice and self-care behaviors are needed. <em>Ethn Dis.</em> 2016;26(2):229-234; doi:10.18865/ed.26.2.229</p>

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 A Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes: Impact on physical activity

Diabetes Care ◽  
2002 ◽  
Vol 25 (9) ◽  
pp. 1576-1583 ◽  
Author(s):  
T. C. Keyserling ◽  
C. D. Samuel-Hodge ◽  
A. S. Ammerman ◽  
B. E. Ainsworth ◽  
C. F. Henriquez-Roldan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
African American ◽  
Randomized Trial ◽  
African American Women ◽  
Self Care ◽  
American Women

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

2017 ◽  
Vol 27 (2) ◽  
pp. 155 ◽  
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

<em></em><p class="Pa7"><strong>Objective: </strong>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).</p><p class="Pa7"><strong>Design: </strong>Post-hoc analysis of prospective, randomized, controlled trial.</p><p class="Pa7"><strong>Setting</strong><em>: </em>Rural communities in the southeast­ern United States.</p><p class="Pa7"><strong>Patients</strong><em>: </em>129 rural middle-aged African American women with uncontrolled type 2 diabetes (T2D)(A1C ≥ 7.0).</p><p class="Pa7"><strong>Primary Independent Variable: </strong>Diabetes-related distress.</p><p class="Default"><strong>Main Outcome Measures</strong><em>: </em>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).</p><p class="Pa7"><strong>Results</strong><em>: </em>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.</p><p class="Pa7"><strong>Conclusions</strong><em>: </em>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.</p><p class="Pa7"><em>Ethn Dis. </em>2017;27(2):155-160; doi:10.18865/ed.27.2.155.</p>

Depressive Symptoms, Cardiovascular Risk, and Diabetes Self-Care Strategies in African American Women With Type 2 Diabetes

2007 ◽  
Vol 21 (4) ◽  
pp. 201-209 ◽  
Author(s):  
Jan Collins-McNeil ◽  
Ezra C. Holston ◽  
Christopher L. Edwards ◽  
Judy Carbage-Martin ◽  
Debra L. Benbow ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
Depressive Symptoms ◽  
Cardiovascular Risk ◽  
African American Women ◽  
Self Care ◽  
American Women
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