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The Diabetes Educator, Vol. 27, No. 3, 405-412 (2001)
DOI: 10.1177/014572170102700310

Patient Priorities and Needs for Diabetes Care Among Urban African American Adults

Marian L. Batts, RN, MSN, CDE

Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland

Tiffany L. Gary, PhD

Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland

Karen Huss, RN, DNSc

School of Nursing, Johns Hopkins Medical Institutions, Baltimore, Maryland

Martha N. Hill, RN, PhD

Department of Health Policy and Management, Johns Hopkins Medical Institutions, Baltimore, Maryland; School of Nursing, Johns Hopkins Medical Institutions, Baltimore, Maryland

Lee Bone, RN, MPH

Department of Health Policy and Management, Johns Hopkins Medical Institutions, Baltimore, Maryland

Frederick L. Brancati, MD, MHS

Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; Welch Center for Prevention, Epidemiology, and Clinical Research, 2024 East Monument Street, Suite 2-600, Baltimore, MD 21205 fbrancat{at}jhmi.edu

PURPOSE

this study was conducted to determine diabetes care priorities and needs in a group of urban African American adults with type 2 diabetes mellitus.

METHODS

One hundred nineteen African American adults with type 2 diabetes, aged 35 to 75, received behavioral/educational interventions from a nurse case manager, a community health worker, or both. Priorities and needs were assessed during 3 intervention visits.

RESULTS

The most frequently reported priorities for diabetes care were glucose self-monitoring (61%), medication adherence (47%), and healthy eating (36%). The most frequently addressed diabetes needs were glucose self-monitoring and medication adherence. Most of the intervention visits (77%) addressed nondiabetes-related health issues such as cardiovascular disease (36%) and social issues such as family responsibilities (30%).

CONCLUSIONS

Participants' self-reported priorities for diabetes care directly reflected the diabetes needs addressed. Needs beyond the focus of traditional diabetes care (social issues and insurance) are important to address in urban African Americans with type 2 diabetes. Interventions designed to address comprehensive health and social needs should be included in treatment and educational plans for this population.


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