Influences on day-to-day self-management of type 2 diabetes among African-American women: spirituality, the multi-caregiver role, and other social context factors

African American women suffer the highest prevalence of type 2 diabetes (T2D). Self-efficacy is important for optimal diabetes self-management (DSM). Purpose: To evaluate DSM by comparing pre- and postintervention responses to a diabetes self-efficacy scale. Design: Descriptive pilot study. Sample: Participants for this study were N = 15 African American women aged 25–65 years (M = 47.4 years) and recruited from a rural health clinic in the Southeastern United States, who received a 4-hr DSM class. Method: Data were collected using the Stanford Self-Efficacy for Diabetes (SED). Results: The increase in the pre- and posttest SED scores were statistically significant, (p < .001). Implications for Nursing: Health care providers should tailor a diabetes education program for these individuals living with T2D. Through a collaborative patient–provider relationship to care, individuals may ultimately experience increased self-efficacy leading to improved DSM.

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

PsycEXTRA Dataset ◽

10.1037/e322352004-050 ◽

2002 ◽

Author(s):

Anne Skelly

Keyword(s):

Type 2 Diabetes ◽

African American ◽

African American Women ◽

Self Care ◽

Sociocultural Context ◽

American Women ◽

Older African American Women ◽

Care Practices

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Admixture mapping and fine-mapping of type 2 diabetes susceptibility loci in African American women

Journal of Human Genetics ◽

10.1038/s10038-018-0503-2 ◽

2018 ◽

Vol 63 (11) ◽

pp. 1109-1117 ◽

Cited By ~ 3

Author(s):

José M. Uribe-Salazar ◽

Julie R. Palmer ◽

Stephen A. Haddad ◽

Lynn Rosenberg ◽

Edward A. Ruiz-Narváez

Keyword(s):

Type 2 Diabetes ◽

African American ◽

African American Women ◽

Fine Mapping ◽

Admixture Mapping ◽

Susceptibility Loci ◽

Diabetes Susceptibility ◽

American Women

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

The Diabetes Educator ◽

10.1177/014572170002600508 ◽

2000 ◽

Vol 26 (5) ◽

pp. 796-805 ◽

Cited By ~ 41

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.

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