scholarly journals Facilitators and barriers to hypertension self-management in urban African Americans: perspectives of patients and family members

2013 ◽  
pp. 741 ◽  
Author(s):  
Ebony Boulware ◽  
Sarah Flynn ◽  
Jessica Ameling ◽  
Felicia Hill-Briggs ◽  
Jennifer Wolff ◽  
...  
Keyword(s):  
African Americans ◽  
Family Members ◽  
Self Management ◽  
Facilitators And Barriers

Perceptions of African American Adults With Type 2 Diabetes on Family Support: Type, Quality, and Recommendations

2021 ◽  
pp. 263501062110189
Author(s):  
Jie Hu ◽  
Lorraine C. Mion ◽  
Alai Tan ◽  
Yang Du ◽  
Mei-Wei Chang ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
African American ◽  
African Americans ◽  
Family Support ◽  
Healthy Eating ◽  
Family Members ◽  
Self Management ◽  
Care Providers ◽  
African American Adults

Purpose The overall purpose of the study was to explore perceptions of family support in diabetes self-management among African American adults with type 2 diabetes. Methods A qualitative study using focus group methodology and individual interviews was conducted. Thirty-seven African American adults with type 2 diabetes were recruited in the Midwest, United States. Data were analyzed using qualitative content analysis. Results Themes emerged from the perspectives of the social interdependence theory. Positive family support included emotional support, instrumental support, and specific information or advice on diabetes management strategies. Positivity, family communication, and healthy eating/meal planning were perceived as helpful family behaviors. Negative support was perceived as intentional or unintentional behaviors. Family members’ help in decision-making included goal setting with family member(s) and help in making decisions on diet and exercise. Recommendations included exercise and nutritional programs, support groups, family involvement, and materials and resources. Motivations for attending diabetes programs included involving family members, sharing success stories, seeing positive results, encouraging and caring, and providing incentives. Conclusions Intervention programs for African Americans should specifically target challenges in family support, healthy eating, and physical activity at an interpersonal level. Health care providers should assess family roles and family support to facilitate diabetes self-management for African Americans.

scholarly journals 545. The Impact of COVID-19 on African Americans’ Health Attitudes and Information Seeking Behavior

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S338-S339
Author(s):  
Katherine Kricorian ◽  
Ozlem Equils ◽  
Karin Kricorian ◽  
Brianna Rochebrun
Keyword(s):  
African Americans ◽  
Information Seeking ◽  
Disease Incidence ◽  
Family Members ◽  
National Sample ◽  
Health Attitudes ◽  
Health News ◽  
Before And After ◽  
Science And Government ◽  
The Impact

Abstract Background African-Americans suffer a disproportionate impact from COVID-19, comprising about 24% of deaths while representing 13% of the US population. We conducted a study to understand COVID-19’s impact on African-Americans’ health attitudes. Methods In April 2020, we surveyed online a national sample of US adults on their health attitudes and behaviors before and after the COVID-19 outbreak. Comparisons were analyzed using chi-squared tests. Results A total of 2,544 individuals completed the survey: 473 African-Americans, 282 Hispanics and 1,799 Caucasians responded. The mean ages of each group were 41.4 ± 11 years, 38.0 ± 11 years and 45.7 ± 13 years, respectively. Before COVID-19, African-Americans were least likely to report they had trust in science (53% vs. 68% for Hispanics and 77% for Caucasians; p< .01) and government (16% vs. 27% and 28%; p< .01). After COVID-19, the percentage of African-Americans who had trust in science and government fell further to 44% (p< .01) and 9% (p< .01), respectively, and remained significantly lower than the other two groups. Twice as many African-Americans vs. Caucasians stopped following science and health news after COVID-19 (9% vs. 4%, p< .01). The percentage of African-Americans who reported anxiety about their health rose from 30% pre-COVID to 53% after the outbreak (p< .01), and the percentage who reported anxiety about their family members’ health rose from 35% to 61% (p< .01). Only 25% of African-Americans surveyed agreed that if they contracted COVID-19, they were confident they would get the healthcare needed. Conclusion After COVID-19, African-Americans’ trust in science and government fell and a meaningful percentage stopped following science and health news, possibly reducing access to important health information. The percentage of African-Americans reporting anxiety about the future, about their health and about their family members’ health all increased significantly after COVID-19. Only a minority of African-Americans agreed they would get the needed healthcare if they contracted COVID-19. These findings have implications for the mental health and behavioral impacts of COVID-19 on African-Americans and for the development of health communications to high-disease-incidence populations. Disclosures All Authors: No reported disclosures

Facilitators and barriers to self-management of patients chronic kidney disease

2021 ◽  
Vol 31 ◽  
pp. S37-S40
Author(s):  
Irsanty Collein ◽  
Ratna Sitorus ◽  
Krisna Yetti ◽  
Sutanto Priyo Hastono
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Self Management ◽  
Facilitators And Barriers

scholarly journals Social Support from Church and Family Members and Depressive Symptoms Among Older African Americans

2015 ◽  
Vol 23 (6) ◽  
pp. 559-567 ◽  
Author(s):  
Linda M. Chatters ◽  
Robert Joseph Taylor ◽  
Amanda Toler Woodward ◽  
Emily J. Nicklett
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
African Americans ◽  
Family Members ◽  
Older African Americans

scholarly journals SPIRITUALITY IN CHRONIC PAIN SELF-MANAGEMENT: LOWER USE BUT EQUAL IMPORTANCE IN OLDER AFRICAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S394-S394
Author(s):  
Staja Booker
Keyword(s):  
Chronic Pain ◽  
African Americans ◽  
Rural Communities ◽  
Church Attendance ◽  
Social Determinant ◽  
Self Management ◽  
Individual Interviews ◽  
The Bible ◽  
Equal Importance ◽  
Christian Literature

Abstract Spirituality is a key social determinant of health for African Americans (AAs) and strongly impacts management of chronic pain. Older AAs (average age 68± 12.37) from urban and rural communities completed questionnaires (N= 110) and audio-recorded, semi-structured individual interviews (N= 18) describing osteoarthritis pain self-management. Prayer was used by 42% of AAs, with substantially fewer attending church (23.6%), watching religious television or reading the Bible/Christian literature (20.9%), listening to gospel music (18.2%), and laying of hands (8.2%). Interestingly, prayer and church attendance were the only pain strategies rated by more participants as very helpful. Regardless of religiosity, most AAs believed that spirituality was “an important aspect, whether we realize it always or not”. Specifically, prayer was considered “number one… ‘cause I know it’s gonna be all right once I do pray…prayer help heal the pain”. Spiritual strategies remain integral for chronic pain self-management despite lower than expected use among AAs.

scholarly journals CHRONIC DISEASE SELF-MANAGEMENT PROGRAM ATTENDANCE AMONG AFRICAN AMERICANS WITH ARTHRITIS AND COMORBIDITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S69-S69
Author(s):  
Chivon A Mingo ◽  
Tiffany R Washington ◽  
Matthew L Smith
Keyword(s):  
Chronic Disease ◽  
African Americans ◽  
Complex Disease ◽  
Multinomial Logistic Regression ◽  
Management Program ◽  
Self Management ◽  
Healthcare Organizations ◽  
Faith Based ◽  
Specific Program ◽  
Program Attendance

Abstract African Americans (AA) are 17% less likely to be diagnosed with arthritis compared to Whites, yet disproportionately burdened by arthritis symptoms. AA are overrepresented in the diagnosis and burden of other chronic conditions (diabetes, heart disease), highlighting the need to engage them in evidence-based Chronic Disease Self-Management Education (CDSME) Programs. This study examines how disease profiles may influence program attendance. Using a multinomial logistic regression, data were analyzed from AA with arthritis (N=20,541) who attended CDSME programs in 48 states. Relative to those with only arthritis, participants with more complex disease profiles were less likely to attend an arthritis-specific program (P<0.001) and more likely to attend a diabetes-specific program (P<0.001). Those with more complex disease profiles were more likely to attend programs at healthcare organizations and residential facilities, and less likely to attend in faith-based organizations (P<0.001). Understanding barriers and facilitators to program attendance have policy and public health implications.

scholarly journals Pilot Implementation of Adapted-Family Diabetes Self-Management Education Into a Clinical Setting

2020 ◽  
Vol 11 ◽  
pp. 215013272093128
Author(s):  
Pearl A. McElfish ◽  
Christopher R. Long ◽  
Aaron J. Scott ◽  
Jonell S. Hudson ◽  
Lauren Haggard-Duff ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Clinical Setting ◽  
Management Education ◽  
Health Workers ◽  
Family Members ◽  
Self Management ◽  
Biometric Data ◽  
Pilot Implementation

Objectives: Marshallese are a Pacific Islander community that experience a disproportionate rate of type 2 diabetes. The purpose of this study is to evaluate the preliminary effectiveness and feasibility of an Adapted-Family Diabetes Self-Management Education (DSME) intervention among Marshallese adults diagnosed with type 2 diabetes and their family members when delivered in a clinical setting. Methods: Marshallese patients (primary participants) with type 2 diabetes (n = 10) and their family members (n = 10) enrolled in a pilot study deigned to evaluate an Adapted-Family DSME curriculum conducted by community health workers and a certified diabetes educator in a clinical setting. Primary and family participants’ health information and biometric data (HbA1c, blood pressure, cholesterol, and body mass index) were collected at preintervention and 12 weeks postintervention. Results: All 10 primary participants and 8 of the family members received all 10 hours of the education intervention. Nine of the 10 primary participants and 8 of the 10 family members completed the pre- and postintervention data collection events. Primary participants demonstrated a mean decrease in HbA1c of 0.7%, from pre- to postintervention, as well as improved blood pressure and cholesterol. Family members demonstrated minor improvements in HbA1c and blood pressure. Conclusions: Results suggest preliminary effectiveness and feasibility of the Adapted-Family DSME in a clinic setting and will inform implementation of a fully powered study.

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