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

Monica E. Peek, Sheila A. Harmon, Shelley J. Scott, Milton Eder, Tonya S. Roberson, Hui Tang, Marshall H. Chin

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)296-308
Number of pages13
JournalTranslational behavioral medicine
Volume2
Issue number3
DOIs
StatePublished - Sep 1 2012

Keywords

  • African-Americans
  • Diabetes
  • Diabetes education
  • Patient empowerment
  • Shared decision-making

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