Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Tang, Tricia S. ; Funnell, Martha M. ; Oh, Mary ;
Tang, Tricia S. ; Funnell, Martha M. ; Oh, Mary ; Less -
Description:
Introduction Diabetes-related health improvements achieved from self-management education interventions are not sustained long-term. We examined the health effects at 1 year follow-up of a 2-year, empowerment-based, diabetes self-management support intervention designed for African Americans. Methods We collected data from 52 African American adults with type 2 diabetes who completed the 3-year study. The intervention consisted of weekly groups led by 2 health care professionals and emphasized experiential learning, emotional coping, problem solving, goal setting, and action planning; group discussion was guided by participant-identified self-management priorities and concerns. Measurements were taken at baseline, 24 months (postintervention), and 36 months (1 year follow-up) to assess glycemic control; weight; body mass index; serum cholesterol, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol levels; systolic and diastolic blood pressure; self-care behaviors; diabetes-specific quality of life; and diabetes empowerment. Results Following the 2-year diabetes self-management support intervention, we found significant improvements for following a healthy diet (P = .03), spacing carbohydrates evenly across the day (P = .005), using insulin as recommended (P = .047), and achieving diabetes-specific quality of life (P = .02). At 1-year follow-up, not only did participants sustain the behavioral improvements made in the 2-year diabetes self-management support intervention, but they also demonstrated additional improvements in glycemic control (P < .001) and in serum cholesterol (P < .001) and low-density lipoprotein cholesterol levels (P = .001). Conclusion Participation in an empowerment-based diabetes self-management support intervention may have a positive and enduring effect on self-care behaviors and on metabolic and cardiovascular health.
Subject:
[+]
Adult
African Americans
Aged
Blood Glucose Self-Monitoring
Cholesterol
Diabetes Mellitus, Type 2
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Health Promotion
Humans
Male
Michigan
Middle Aged
Original Research
Patient Education As Topic
Power (Psychology)
Problem Solving
Quality Of Life
Questionnaires
Self Care
Treatment Outcome

Source:
Prev Chronic Dis. 9.
Document Type:
Journal Article ;
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:7525c81ac09ce42f2ed6780d7051b5520df7c164400f6aa265c26e4d52594770
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E109.nxml	txt

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