Title |
Culturally tailoring patient education and communication skills training to empower African-Americans with diabetes
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Published in |
Translational Behavioral Medicine, April 2012
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DOI | 10.1007/s13142-012-0125-8 |
Pubmed ID | |
Authors |
Monica E Peek, Sheila A Harmon, Shelley J Scott, Milton Eder, Tonya S Roberson, Hui Tang, Marshall H Chin |
Abstract |
New translational strategies are needed to improve diabetes outcomes among low-income African-Americans. Our goal was to develop/pilot test a patient intervention combining culturally tailored diabetes education with shared decision-making training. This was an observational cohort study. Surveys and clinical data were collected at baseline, program completion, and 3 and 6 months. There were 21 participants; the mean age was 61 years. Eighty-six percent of participants attended >70 % of classes. There were improvements in diabetes self-efficacy, self-care behaviors (i.e., following a "healthful eating plan" (mean score at baseline 3.4 vs. 5.2 at program's end; p = 0.002), self glucose monitoring (mean score at baseline 4.3 vs. 6.2 at program's end; p = 0.04), and foot care (mean score at baseline 4.1 vs. 6.0 at program's end; p = 0.001)), hemoglobin A1c (8.24 at baseline vs. 7.33 at 3-month follow-up, p = 0.02), and HDL cholesterol (51.2 at baseline vs. 61.8 at 6-month follow-up, p = 0.01). Combining tailored education with shared decision-making may be a promising strategy for empowering low-income African-Americans and improving health outcomes. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 75% |
Unknown | 1 | 25% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 75% |
Scientists | 1 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Spain | 1 | 1% |
United States | 1 | 1% |
Netherlands | 1 | 1% |
Unknown | 80 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 16 | 19% |
Researcher | 9 | 11% |
Student > Ph. D. Student | 9 | 11% |
Student > Doctoral Student | 7 | 8% |
Student > Bachelor | 7 | 8% |
Other | 14 | 17% |
Unknown | 21 | 25% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 17 | 20% |
Nursing and Health Professions | 16 | 19% |
Psychology | 10 | 12% |
Social Sciences | 7 | 8% |
Biochemistry, Genetics and Molecular Biology | 2 | 2% |
Other | 10 | 12% |
Unknown | 21 | 25% |