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Published in: Translational Behavioral Medicine 3/2012

01-09-2012 | Original Research

Culturally tailoring patient education and communication skills training to empower African-Americans with diabetes

Authors: Monica E Peek, MD, MPH, Sheila A Harmon, MSN, APN/CNS,CDE, Shelley J Scott, RD, LDN, Milton Eder, PhD, Tonya S Roberson, BA, DT, Hui Tang, MS, MS, Marshall H Chin, MD, MPH

Published in: Translational Behavioral Medicine | Issue 3/2012

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ABSTRACT

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 6 months. There were 21 participants; the mean age was 61 years. 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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Metadata
Title
Culturally tailoring patient education and communication skills training to empower African-Americans with diabetes
Authors
Monica E Peek, MD, MPH
Sheila A Harmon, MSN, APN/CNS,CDE
Shelley J Scott, RD, LDN
Milton Eder, PhD
Tonya S Roberson, BA, DT
Hui Tang, MS, MS
Marshall H Chin, MD, MPH
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
Translational Behavioral Medicine / Issue 3/2012
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-012-0125-8

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