A culturally competent intervention of education and care for black women with type 2 diabetes

被引:48
作者
Melkus, GD
Spollett, G
Jefferson, V
Chyun, D
Tuohy, B
Robinson, T
Kaisen, A
机构
[1] Yale Univ, Sch Nursing, New Haven, CT 06536 USA
[2] Yale Univ, Sch Med, Dept Endocrinol, Ctr Diabet, New Haven, CT 06536 USA
关键词
D O I
10.1016/j.apnr.2003.10.009
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This article reports on the development and pilot feasibility testing of a culturally competent intervention of education and care for black women with type 2 diabetes mellitus (T2DM). Using a one group, pretest posttest quasi-experimental design, the intervention was tested with a convenience sample of 25 community black women with T2DM. The conceptual basis, process, and content of the intervention as well as the feasibility and acceptability of study materials and methods are described. Significant improvements from baseline to 3 months were observed in measures of glycemic control, weight, body mass index, and diabetes-related emotional distress. The findings suggest that a culturally sensitive intervention of nurse practitioner diabetes care and education is beneficial for black women with T2DM, resulting in program attendance, kept appointments, improved glycemic control and weight, and decreased diabetes-related emotional distress. (C) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:10 / 20
页数:11
相关论文
共 48 条
[1]   BODY-SIZE VALUES OF WHITE AND BLACK-WOMEN [J].
ALLAN, JD ;
MAYO, K ;
MICHEL, Y .
RESEARCH IN NURSING & HEALTH, 1993, 16 (05) :323-333
[2]  
[Anonymous], REPORT SECRETARYS TA
[3]   HOW WHITE AND AFRICAN-AMERICANS VIEW THEIR HEALTH AND SOCIAL-PROBLEMS - DIFFERENT EXPERIENCES, DIFFERENT EXPECTATIONS [J].
BLENDON, RJ ;
SCHECK, AC ;
DONELAN, K ;
HILL, CA ;
SMITH, M ;
BEATRICE, D ;
ALTMAN, D .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 273 (04) :341-346
[4]   METAANALYSIS OF DIABETES PATIENT EDUCATION RESEARCH - VARIATIONS IN INTERVENTION EFFECTS ACROSS STUDIES [J].
BROWN, SA .
RESEARCH IN NURSING & HEALTH, 1992, 15 (06) :409-419
[5]   STUDIES OF EDUCATIONAL INTERVENTIONS AND OUTCOMES IN DIABETIC ADULTS - A METAANALYSIS REVISITED [J].
BROWN, SA .
PATIENT EDUCATION AND COUNSELING, 1990, 16 (03) :189-215
[6]   Quality of diabetes care in community health centers [J].
Chin, MH ;
Auerbach, SB ;
Cook, S ;
Harrison, JF ;
Koppert, J ;
Jin, L ;
Thiel, F ;
Karrison, TG ;
Harrand, AG ;
Schaefer, CT ;
Takashima, HT ;
Egbert, N ;
Chiu, SC ;
McNabb, WL .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (03) :431-434
[7]   DIABETES SELF-MANAGEMENT EDUCATION [J].
CLEMENT, S .
DIABETES CARE, 1995, 18 (08) :1204-1214
[9]   METABOLIC IMPACT OF EDUCATION IN NIDDM [J].
DERAMOMELKUS, GA ;
WYLIEROSETT, J ;
HAGAN, JA .
DIABETES CARE, 1992, 15 (07) :864-869
[10]  
*DIAB RES WORK GRO, 1999, CONQ DIAB STRAT PLAN