Journal
TRANSLATIONAL BEHAVIORAL MEDICINE
Volume 2, Issue 3, Pages 296-308Publisher
OXFORD UNIV PRESS
DOI: 10.1007/s13142-012-0125-8
Keywords
Diabetes; Patient empowerment; Diabetes education; Shared decision-making; African-Americans
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Funding
- University of Chicago CTSA Pilot Grant Award Program
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) [R18DK083946]
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (Diabetes Research and Training Center) [P60 DK20595]
- Merck Company Foundation
- Mentored Patient-Oriented Career Development Award of the NIDDK [K23 DK075006]
- NIDDK Midcareer Investigator Award in Patient-Oriented Research [K24 DK071933]
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New translational strategies are needed to improve diabetes outcomes among low-income African-Americans. Our goal was to develop/pilot test a patient intervention combining culturally tailored diabetes education with shared decision-making training. This was an observational cohort study. Surveys and clinical data were collected at baseline, program completion, and 3 and 6months. There were 21 participants; the mean age was 61years. Eighty-six percent of participants attended >70 % of classes. There were improvements in diabetes self-efficacy, self-care behaviors (i.e., following a healthful eating plan (mean score at baseline 3.4 vs. 5.2 at program's end; p= 0.002), self glucose monitoring (mean score at baseline 4.3 vs. 6.2 at program's end; p= 0.04), and foot care (mean score at baseline 4.1 vs. 6.0 at program's end; p= 0.001)), hemoglobin A1c (8.24 at baseline vs. 7.33 at 3-month follow-up, p= 0.02), and HDL cholesterol (51.2 at baseline vs. 61.8 at 6-month follow-up, p= 0.01). Combining tailored education with shared decision-making may be a promising strategy for empowering low-income African-Americans and improving health outcomes.
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