208173 Promoting diabetes self-management among African Americans: An educational intervention in Prince George's County, Maryland

Tuesday, November 10, 2009: 5:30 PM

Eleanor Walker, PhD, RN , Department of Nursing, Bowie State University, Bowie, MD
Diabetes is a major national health problem that impacts African Americans more seriously than other population groups. African Americans experience higher rates of complications from the disease, higher rates of disability from complications, and higher death rates than other groups. 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. 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 trained to provide diabetes education and follow-up 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. Describe effective strategies for increasing self-management behaviors of African American adults with type 2 diabetes. 2. Discuss policy implications for improving self-management behaviors of adult African Americans with type 2 diabetes.

Keywords: Diabetes, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have more than 20 years of experience working with minority individuals in an effort to reduce health disparities. I have completed several research projects and published articles in these areas.
Any relevant financial relationships? No

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.