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Heuristic Model Linking Contextual Processes to Self-Management in African American Adults With Type 2 Diabetes

Institute for Behavioral Research, University of Georgia, Athens, Georgia

Leonard Jack, Jr, PhD, MS

Community Intervention Section, Program Services Branch, Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, Mail Stop K-10, Atlanta, Georgia 30341-3717 LJack{at}cdc.gov

Velma McBride Murry, PhD

Melissa Landers-Potts, PhD

Institute for Behavioral Research, University of Georgia, Athens, Georgia

Leandris Liburd, MPH

Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia

PURPOSE

This article examines the influence of various environmental factors on the diabetes self-care practices of African American adults with type 2 diabetes.

METHODS

A heuristic model was developed that considers how community barriers and supports, availability and use of insurance, diabetes education, medical provider-patient relationships, extended family processes, and psychological functioning may indirectly affect metabolic control through the patient's ability to regulate diabetes.

RESULTS

The proposed model offers a framework to demonstrate the complexity of diabetes management that may be unique to the African American experience.

CONCLUSIONS

A comprehensive view of the environmental context will lead to new and more effective approaches in diabetes education and counseling for African American adults with type 2 diabetes.

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