267174 Self-Care Management among African Americans living with Type 2 Diabetes

Tuesday, October 30, 2012 : 8:50 AM - 9:10 AM

Timethia Bonner, DPM , Department of Health and Kinesiology/Social and Health Disparities Research Lab, Texas A and M University, College Station, TX
Mary Shaw-Ridley, PhD, MEd, MCHES , Associate Professor-Health Education, Director-Social and Health Disparities Research Lab, Texas A and M University, College Station, TX
Ledric Sherman, MA , Department of Health and Kinesiology/ Social and Health Disparities Research Lab, Texas A&M University, College Station, TX
Jeffrey Guidry, PhD , Department of Health and Kinesiology; Division of Health Education, Texas A&M University, College Station, TX
African Americans bear a disproportionate burden of morbidity, amputation, and death from complications secondary to type 2 diabetes. One of the most devastating complications from diabetes, lower extremity amputation, is 2.5 times higher in African Americans than in white individuals (Scollan-Koliopoulos, 2004). Amputations, caused by diabetes, pose grave implications for individuals and their families in terms of psychosocial, physical, functional, and financial implications (Scollan-Koliopoulos, 2004). For diabetics with lower extremity disease, improved control of modifiable risk factors may reduce the risk of progression to late stage disease (Dorsey, Eberhardt, Gregg, & Geiss, 2009). Utz et al (2008) states that the national standard recommendation for people living with diabetes is that they should receive diabetes self-management training from a multidisciplinary team, including physicians, nurses, and dieticians. Health people 2020 objectives pertaining to reducing the diabetes-related complications and deaths can be achieved through patient education initiatives that teach individuals proper foot care and measures to prevent amputations (Scollan-Koliopoulos, 2004). Melkus et al (2010) noted that despite the establishment of many accredited diabetes self-management treatment programs in various clinical settings, ethnic minority participation in such programs is low. While there is widespread agreement that self-care practices play a critical role in the management of chronic illnesses, little is known about the daily self-care practices of chronically ill African Americans (Becker, Gates, & Newsome, 2004). This exploratory study examines the knowledge, beliefs, and self-care management practices of African Americans living with type 2 diabetes who may potentially be at risk for lower extremity disease.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1. Assess patient knowledge and bekiefs about type 2 diabetes complicated by lower extremity disease. 2. Describe patient knowledge of self-care management standards of care for lower extremity disease. 3. Identify patient perceptions of social support networks available to them that enhance adherence to self-care management to type 2 diabetes complicated by lower extremity disease. 4. Evaluate perceptions of barriers to performing recommended self-care management practices for lower extremity disease. 5. Formulate patient preferences for delivery of information and services to support self-care management practices of type 2 diabetes complicated by lower extremity disease.

Keywords: Self-Management, Diabetes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a 2008 graduate of Barry University's Podiatric Medicine Program, but I am currently a doctoral student at Texas A&M University. My research interest is diabetes, more specifically the effects of diabetes on African Americans. I did a year preceptorship with Premier Foot and Ankle Center where I saw many diabetic patients.
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.