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The Diabetes Educator, Vol. 31, No. 1, 91-97 (2005)
DOI: 10.1177/0145721704273231

FEATURES

Developing a New Generation of Ongoing Diabetes Self-management Support Interventions

A Preliminary Report

Tricia S. Tang, PhD, Mary Lou Gillard, MS, RN, CDE, Martha M. Funnell, MS, RN, CDE, Robin Nwankwo, RD, MPH, CDE, Ebony Parker, BS, David Spurlock, BS and Robert M. Anderson, EdD

From the University of Michigan Department of Medical Education, University of Michigan Medical School, and Michigan Diabetes Research and Training Center.

Correspondence to Tricia S. Tang, PhD, G1109 Towsley Center, Box 0201, Ann Arbor, MI 48109-0201 (tangts{at}umich.edu).

Purpose

The study examined the feasibility, acceptability, and potential impact of an innovative, community-based, ongoing self-management intervention aimed at enhancing and sustaining self-care behaviors over the long term among urban African Americans with type 2 diabetes.

Methods

Sixty-two African American men and women completed the study. Participants were invited to attend 24 weekly, consecutive, diabetes self-management support/education groups. The flow of the weekly group sessions was guided by questions and concerns of the patients. Baseline and 6-month follow-up metabolic functioning, lipid profiles, cardiovascular functioning, and self-care behaviors were assessed.

Results

Ninety percent (n = 56) of the sample attended at least 1 session; 40% attended at least 12 or more sessions. Paired t tests found significant improvements in body mass index (P < .001), total cholesterol (P < .01), high-density lipoprotein (P < .05), and low-density lipoprotein (P < .001). Significant increases were also found for self-care behaviors (P < .05).

Conclusions

Preliminary evidence suggests that participation in this weekly problem-based, self-management support intervention can yield diabetes-related health benefits.


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