A Culturally Tailored Intervention For Rural African Americans With Type 2 Diabetes

774 Words4 Pages
Utz et al. (2008) conducted a quasi-experimental design pilot study to evaluate a culturally tailored intervention for rural African Americans with type 2 diabetes. According to Utz et al. (2008) an empowerment approach for has shown to be successful with educating African Americans. The aim of this particular study was to determine if it was feasible to conduct a trial to compare a culturally tailored Group DSME to Individual DSME among African American with type 2 diabetes, to collect preliminary data to compare and contrast Group versus Individual DSME in regards to glycemic control, and to identify whether specific population characteristics are linked with more positive outcomes. Respondents were from rural Central Virginia where 22.6 % of the population are African American. These respondents were recruited by flyers posted around their neighborhoods, school, churches, newspapers, community leaders, and radio. Respondents were prescreened and allowed to participate if they were: 18 years or older, African American, diagnosed with type 2 diabetes, lived in a rural area, and was able to give informed consent. A convenience size of 22 respondents (18 women and 4 men) was reached after the prescreening. These respondents were then randomly assigned to the Group or Individual DSME. Respondents were compensated $25 during the three data collection time frame totaling $75. The study was conducted in a 6 month time span during the years 2005-2006. During that six month time frame all meetings were held in the local community center. All respondents the study were taught by the same certified diabetic educator. Respondents were allowed to set personal goals with the class instructor. Group DSME class sessions were held weekly f... ... middle of paper ... ...en comparing the Group DSME to the Individual DSME statistically the Group DSME overall finding were more impressive compared to the Individual DSME. The Group DSME in a 10 week period was able to lower their A1C -.32 % compared to the Individual DSME, however both group were able to lower their blood glucose level. The Group DSME was able to show more improvement in carbohydrate spacing (P = .073); foot care score of (+3.64) compared to (+0.38) Individual group score (P = .189); self-efficacy score of (+3.58) compared to the Individual Group score of (-1.13) (P = .111); self-care goal achievement for the Group DSME was reported at 76% compared to the Individual DSME at 56%. With these findings they study has indicated that a culturally tailored diabetic educational program for African Americans with type 2 diabetes could enhance self-care and glycemic control.

    More about A Culturally Tailored Intervention For Rural African Americans With Type 2 Diabetes

      Open Document