161490 Promoting diabetes self-management among African Americans: An educational intervention in Prince George's County, Maryland

Wednesday, November 7, 2007: 1:15 PM

Eleanor Walker, PhD, RN , Department of Nursing, Bowie State University, Bowie, MD
Karen Stevens, PhD , Department of Nursing, CLT 217, Bowie State University, Bowie, MD
Sabita Persaud, PhD , Department of Nursing, CLT 217, Bowie State University, Bowie, MD
The purpose of this project was to increase knowledge and self-management of diabetes among African American adults 40 years of age and older diagnosed with Type II diabetes. The goals were to 1) increase knowledge about diabetes, 2) improve adherence with recommended standards for exercise, diet, and medications, and 3) improve glycemic control.

A quasi-experimental pretest-posttest comparison group design was used in this study. Four educational sessions were provided to participants in the intervention group. Content areas included information about diabetes and its complications, risk factors, proper diet, recommendations for exercise, medications, monitoring blood glucose, and other care. Various teaching strategies were utilized, including discussion, games, demonstration, and videos. Patient Navigators were recruited from communities in which the participants resided and were trained to provide diabetes education and follow-up. Interventions by the Navigators were developed according to the participant's stage of change based on the Transtheoretical Model. Follow-up by phone at the scheduled intervals focused on obtaining data about diet recall, self report of exercise activities, diabetes medications taken, barriers to adhering to recommendations and offering suggestions to resolve identified problems. The control group was offered the educational session at the completion of education of the intervention group.

Differences between baseline and completion measures and between intervention and comparison groups at various intervals were determined by t-tests. Policy issues and implications will be discussed.

Learning Objectives:
Upon completion of this session, participants will be able to: 1. Discuss the effectiveness of a diabetes self-management program with African American adults. 2. Describe effective strategies for promoting diabetes self-management among African American adults. 3. Discuss policy issues and implications.

Keywords: Diabetes, Health Disparities

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.