Sharon Williams Utz|Ishan Williams|Randy Jones|Ivora Hinton|Gina Alexander|Yan Gao|Cynthia Moore|Jean Blankenship|Richard H. Steeves|M. Norman Oliver
Culturally Tailored Intervention for Rural African Americans With Type 2 Diabetes
University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia|University of Virginia
purpose purpose pilot study evaluate culturally tailored intervention rural african americans social cognitive theory provided framework study methods twentytwo participants recruited randomly assigned either group individual diabetes selfmanagement dsme group dsme included storytelling handson activities problemsolving exercises individual dsme sessions focused goalsetting problemsolving strategies sessions offered accessible community center 10week period results outcomes included glycosylated hemoglobin a1c selfcare actions selfefficacy level goal attainment satisfaction dsme participants group individual dsme improved slightly 3month period selfcare activities a1c level goal attainment although differences statistically significant trends indicate improved scores dietary actions foot care goal attainment empowerment experiencing group dsme conclusions culturally tailored approach well received participants improvements among receiving individual dsme may indicate brief sessions using culturally tailored approach could enhance selfcare glycemic control additional testing among participants longer time period recommended