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