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Culturally tailored intervention for rural African Americans with type 2 diabetes
Sharon W Utz1, Ishan C Williams1, Randy Jones1
1The University of Virginia School of Nursing, Rural Health Care Research Center, Charlottesville (Dr Utz, Dr Williams, Dr Jones, Dr Hinton, Ms Alexander, Dr Steeves)
The Diabetes Educator
|October 4, 2008
Summary
This pilot study evaluated a culturally tailored diabetes self-management intervention for rural African Americans. Group-based interventions showed promising trends in improving self-care actions and empowerment.
Area of Science:
- Public Health
- Health Disparities
- Behavioral Science
Background:
- Diabetes self-management education (DSME) is crucial for managing chronic conditions.
- Culturally tailored interventions are needed to address health disparities in rural African American communities.
- Social Cognitive Theory provides a framework for understanding and promoting health behaviors.
Purpose of the Study:
- To evaluate a culturally tailored intervention for diabetes self-management among rural African Americans.
- To compare the effectiveness of group-based versus individual DSME.
- To assess the impact of the intervention on clinical outcomes and self-efficacy.
Main Methods:
- A pilot study involving 22 participants randomly assigned to Group or Individual DSME.
- Group DSME incorporated storytelling, hands-on activities, and problem-solving.
- Individual DSME focused on goal-setting and problem-solving strategies over 10 weeks.
Main Results:
- Both Group and Individual DSME showed slight improvements in self-care activities, glycosylated hemoglobin (A1C), and goal attainment over 3 months.
- Trends suggested better outcomes in dietary actions, foot care, goal attainment, and empowerment for the Group DSME participants.
- Differences between groups were not statistically significant, but positive trends were observed.
Conclusions:
- The culturally tailored approach was well-received by participants.
- Brief, culturally tailored individual DSME sessions may enhance self-care and glycemic control.
- Further research with larger sample sizes and longer follow-up periods is recommended.
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