249300 Assessing Stress and Stress Reduction with Tai Chi among Elderly Hispanics with Diabetes

Tuesday, November 1, 2011

Amparo Castillo, MD , Jane Addams College of Social Work and School of Public Health at UIC, Midwest Latino Health Research Training and Policy Center, Chicago, IL
Lisa Aponte-Soto, MHA, PhD Candidate , Community Health Sciences, School of Public Health, University of Illinois at Chicago, Chicago, IL
Rosalba Hernandez, BS, MS , School of Public Health, University of Illinois at Chicago, Chicago, IL
Background. Persons with type 2 diabetes (T2D) experience psychosocial stress more frequently than the general population, and are more susceptible to depression and poor adherence to their self-care regimen. Stress increases glycemia and interferes with self-care practices (e.g., glucose monitoring, exercising, healthy eating). Stress management approaches (e.g., relaxation, meditation) can reduce glycemia and insulin resistance, and improve quality of life. Limited research examines the use of stress management approaches in minority groups with T2D. Tai Chi is a low-impact physical activity and meditation that reduces stress and glycemia, and improves overall health and insulin resistance in patients with T2D. This pilot study explores explanatory models of diabetes and stress, and perceived sources of stress among elderly Hispanics with T2D, with particular emphasis on the cultural factors influencing the receptivity to physical activity and stress management practices including Tai Chi. Methods. Using purposive/convenience sampling, 30 adults self-identified as Hispanics, 50 years or older with diagnosed T2D will be recruited from the Pilsen and Southeast Chicago communities. Participants should be naive to stress reduction training, and be cognitively intact. Four focus groups stratified by gender (2 male, 2 female) will be conducted. Sessions will follow a standard protocol, will be audio-taped and information stored in electronic format. Qualitative software Atlas ti will be used for data analysis. Confirmatory analysis will be used to rank and weight the categories and themes identified. Results. Results of the focus groups will be used to adapt a diabetes self-management program incorporating Tai Chi as a stress reduction strategy. Conclusions. Incorporating stress reduction as part of self-management practices for Hispanic elderly with T2D may serve to improve their diabetes outcomes and quality of life. Cultural adaptation of successful stress management approaches such as Tai Chi is warranted.

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
At the end of the session, participants will be able to: 1. Discuss the role of stress in the development and progression of diabetes as described by Hispanic older adults with type 2 diabetes; 2. Identify at least three main sources of diabetes-related stress experienced by elderly Hispanics with type 2 diabetes; 3. Describe factors influencing the engagement in physical activity among elderly Hispanics with type 2 diabetes; 4. Describe cultural factors influencing the receptivity and practice of stress management approaches and particularly, Tai Chi among elderly Hispanics with type 2 diabetes.

Keywords: Diabetes, Stress

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the principal investigator in this federally funded program; I oversee the implementation of this program and I provide diabetes education to Hispanic elderly in the community.
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.