Alexandra N. Garcia|Sharon A. Brown|Sharon D. Horner|José Zúñiga|Kristopher L. Arheart
Home-based diabetes symptom self-management education for Mexican Americans with type 2 diabetes
University of Miami|The University of Texas at Austin|Emory University|Emory University|University of Miami|The University of Texas at Austin|The University of Texas at Austin|Emory University|University of Miami|Emory University|University of Miami|The University of Texas at Austin|University of Miami|The University of Texas at Austin|Emory University
pilot study evaluated innovative diabetes symptom awareness selfmanagement educational program mexican americans fast growing minority population experiencing diabetes epidemic patients diabetes need assistance interpreting managing symptoms often annoying potentially lifethreatening repeated measures randomized controlled trial conducted 72 mexican americans aged 2575 years type 2 diabetes experimental condition participants received eight weekly inhome oneonone educational behavior modification sessions registered nurse focusing symptom awareness glucose selftesting appropriate treatments followed eight biweekly support telephone sessions waitlisted control condition participants served comparisons three time points hierarchical linear modeling used evaluate effects intervention within groups psychosocial behavioral clinical outcomes participants predominantly female middleaged moderately acculturated poor glycemic control experimental group participants n 39 significantly improved glycemic control blood pressure symptoms knowledge selfefficacy empowerment quality life post intervention focus groups reported satisfaction symptom focus addressing symptoms led clinical psychosocial improvements symptoms seem important motivator useful prompt engage patients diabetes selfmanagement behaviors relieve symptoms prevent complications