African American Women with Type 2 Diabetes

African American Women with Type 2 Diabetes
Author: F. Bridgett Rahim-Williams
Publisher:
Total Pages:
Release: 2004
Genre:
ISBN:

ABSTRACT: Prescribed self-management behaviors have been found to be important factors affecting the rates of morbidity and mortality in multiple medical conditions including chronic diseases such as diabetes, a condition that disproportionately affects high health risk populations such as African Americans. This study focused on understanding health behaviors, beliefs, and associated factors such as support systems and access to care that played a role in diabetes self-management and glucose control. The study also explored diabetes self-management education and its role in diabetes self-management. The research conducted in Pinellas and Hillsborough counties in Florida, included twenty-five African American women between the ages of forty-six and eighty-seven, with self-identified diabetes mellitus (type 2 diabetes).

Diabetes-Related Knowledge Among Middle-Aged African American Women in North Texas

Diabetes-Related Knowledge Among Middle-Aged African American Women in North Texas
Author: Dr. Victor Akhidenor
Publisher: Xlibris Corporation
Total Pages: 204
Release: 2019-10-09
Genre: Health & Fitness
ISBN: 1796062189

The book is rooted from the idea that Blacks/African American women are more susceptible to suffering from Type-II diabetes; and are unable to manage the disease effectively. My study was to explore why Blacks/African American women are not able to manage the disease compared to other demography. Prior research had indicated that Blacks/African American women are disproportionately affected by diabetes and have a higher incident of diabetes related complications. In the course of my investigation, I discovered that this population are denied access to affordable quality healthcare services and Medicaid insurance. During the studies, data were collected from among the demographic groups from churches, clinics, public libraries, city halls and other public places. Over one hundred and twenty participants responded to the survey questionnaire on Survey Monkey platform. The relationship between self-care efficacy and self-care knowledge, self-care efficacy and self-care management, self-care knowledge and self-care management were tested. The result indicated a moderate correlation, but statistically significantly relationship among the variable.

Predicting Treatment Success

Predicting Treatment Success
Author: Emily DiNatale
Publisher:
Total Pages: 139
Release: 2014
Genre: Diabetes in women
ISBN:

Rural African American women have greater prevalence of Type 2 Diabetes Mellitus (T2DM) and poorer treatment outcomes compared to Caucasians. Some research suggests that self-efficacy, subjective norms, and locus of control (LOC) impact this population differently and may be linked to behavioral treatment outcomes. However, these relationships have not been directly examined. EMPOWER, a culturally-tailored T2DM intervention that utilizes community health workers (CHWs) to provide patient-centered care using a Small Changes Model (SCM), was developed as an innovative treatment approach for African American women. This study was designed to explore the best predictors of treatment success within the EMPOWER program and to determine whether self-efficacy, subjective norms, and LOC impact outcomes. Assessments utilized program results of two hundred middle aged (age=53.45±10.24) obese (BMI=37.67±8.02) African American women with poorly-controlled diabetes (HbA1c=9.09±1.83) enrolled in EMPOWER. Half (n=102) were randomly assigned to a phone-based EMPOWER group while half (n=98) were assigned to a mail-based didactic comparative group. Weight, HbA1c, medication adherence, self-care behaviors, self-efficacy, and depression were measured at 0, 6, and 12-months. At 12-month follow-up, subjective norms and LOC were measured. Repeated measures ANOVAs indicated that both groups had a reduction in weight F(1.82, 197)=4.15, p=0.020, [eta]2=0.021 but no changes in HbA1c. Independent samples t-tests revealed a significant difference in God LOC between the EMPOWER group (M=19.16, SD=8.20) and the Mail group (M=22.42, SD=7.48; t(143)=-2.49, p=0.014) and between participants who used insulin (M=21.86, SD=7.55) and those who do not (M=18.88, SD=8.21; t(139)=-2.18, p=0.031). Theoretically-based moderated-mediation models assessed self-efficacy and subjective norms as mediators and God and Internal LOC as moderators of outcomes. While no mediation interactions were found, models revealed that subjective norms significantly impacted self-care behavior change ([beta]=1.48, p=0.037). God LOC served as a moderator that enhanced this relationship ([beta]=0.078, p=0.013). Results suggest that subjective norms may play a more important role in diabetes management behavior change among African American women than previously understood. Further, God LOC was shown to be an important and complex treatment factor that likely relates to both internal and external LOC. These findings have important implications for future health behavior change programs for African American women.

Blood Sugar and Brothers' Voices

Blood Sugar and Brothers' Voices
Author: Ledric Sherman
Publisher:
Total Pages:
Release: 2013
Genre:
ISBN:

Self-care is the key to living a long and healthy life for people with diabetes. Yet numerous studies show that self-care is far from optimal. This has resulted in attempts to understand the progress underlying self-care behavior in the efforts of mediating more effectively. While there are an abundance of studies focusing on African-American women and diabetes management, there is a considerable gap in health education literature regarding the self-care management experiences of African-American men living with type 2 diabetes. The management and impact of type 2 diabetes on the sense of self, lifestyle, and significant others of the African-American man are not clearly comprehended. Therefore, the purpose of the study was to explore the knowledge, beliefs, and self-care management practices of African American men living with type 2 diabetes. This was an exploratory study utilizing qualitative methodology to understand the knowledge, beliefs, and existing self-care management practices of up to 50 African-American men, ages 18-70, living with type 2 diabetes. Participants had one-on-one semi structured interviews with the primary investigator. The instruments that were used consisted of two parts: one was a self-administered paper/pencil questionnaire to collect socio-demographic information. The second was a semi-structured interview. The study significance was to identify and understand the barriers to type 2 diabetes management and how they had an adverse influence on self-care. A combination of high barriers, poor daily self-care, management, and knowledge possibly put those with type 2 diabetes at an elevated risk for subordinate self-care management. Barriers had a role in reality and diabetes researchers and educators are charged with recognizing the complications of what individuals with type 2 diabetes need to do improve and enhance their health. The study findings revealed that the participants labored with managing their diabetes and some counted on their own potential or performance, as well as the encouragement of their family, extended family, neighbors, and friends. Also, many of the participants had a unified theme in that regarding self-care management, having type 2 diabetes affected those in their surrounding environment, not just the person living with the illness. In conclusion, the study findings suggest that future diabetes research and education among African-American men should give attention to male masculinity and the powerful influence it has on utilizing preventive health services. The limited amount of African-American men included in empirical type 2 diabetes research could help explain the under addressed barriers and complexities to positive self-care management. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/151155

Psychosocial Care for People with Diabetes

Psychosocial Care for People with Diabetes
Author: Deborah Young-Hyman
Publisher: American Diabetes Association
Total Pages: 330
Release: 2012-12-25
Genre: Psychology
ISBN: 1580404391

Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Self-care Agency and Self-care Practice of Adult African Americans with Type 2 Diabetes

Self-care Agency and Self-care Practice of Adult African Americans with Type 2 Diabetes
Author: Martha Cook Eddings
Publisher:
Total Pages: 104
Release: 2012
Genre: African Americans
ISBN:

The purpose of the study was to identify and examine the concepts of self-care agency and self-care practice of African American adults diagnosed with type 2 diabetes, living in the local community. The research questions addressed were: 1) What is the self-care agency of adult African Americans diagnosed with type 2 diabetes? 2) What is the self-care practice of adult African Americans diagnosed with type 2 diabetes? 3) Is there a relationship between self-care agency and self-care practice in adult African Americans diagnosed with type 2 diabetes? The Denyes Self-Care Agency Instrument (DSCAI-90) and the Denyes Self-Care Practice Instrument (DSCPI-90) were used to survey a convenience sample of 40 adult African Americans with type 2 diabetes, living in the community. Findings revealed that self-care agency and self-care practice were present, and there was a positive correlation between the two concepts. The results of this study supported the usefulness of Orem's Self-Care Deficit Nursing Theory (SCDNT) with adult African American diabetic populations and identified the need for further research to examine self-care in other African American populations.

Motivational Interviewing to Improve Diabetic Foot Ulcer Self-care Behaviors Among African Americans

Motivational Interviewing to Improve Diabetic Foot Ulcer Self-care Behaviors Among African Americans
Author: Cloudine Dione Mbong
Publisher:
Total Pages: 0
Release: 2023
Genre:
ISBN:

Diabetes and Diabetic foot ulcer (DFU) remain a major health issue in patients clinically diagnosed as diabetic, both type 1 and type 2. DFU occurs when the skin of a person with diabetes sustains a break that does not promptly heal. This condition is linked to infection, ulceration, and damage to the deeper tissues of the feet, resulting from prolonged and uncontrolled high blood sugar levels. It poses significant health risks, including amputation, reduced quality of life, increased healthcare costs, and disability if left untreated. This proposed project was formed to assess how effective motivational interviewing (MI) affects self-care behavior for DFU among patients of African American descent. Evidence-Based Framework: Kurt Lewin's 3-stage unfreezing and refreezing theory of change will be implemented in this project, and the Johns Hopkins Nursing Evidence-Based Practice Model utilized to facilitate effective behavior change among patients. Method: The main objective for the project is analyzing the effects of motivational interviewing on self-care behavior for DFU among African Americans. The study utilized interventions designed before and after implementation. These interventions involved educating participants using motivational interviewing techniques. Data on self-care behaviors was collected before and after the intervention. Findings/Results: This project measured the participants' self-care behavior before and after using motivational interviewing. The results suggested that the knowledge gained from the pre-contemplation stage on the adverse outcomes of the participants' behaviors and the potential positive implications associated with appropriate DFU self-care promoted the change. Conclusion/Recommendation: Implementing motivational interviewing on self-care behavior for DFU among African American patients increased the patients' awareness. Patients began to make changes to improve their foot ulcer self-management. Therefore, it can be concluded that educating DFU patients on self-care behavior will improve their foot ulcer self-management. The positive changes can include regular feet inspection, moisturizing the feet daily, thoroughly washing and drying, and maintaining clean and short nails.