A culturally competent intervention of education and care for black women with type 2 diabetes.
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.
Yale University School of Nursing, PO Box 9740, New Haven, CT 06536, USA. Gail.Melkus@Yale.edu
Gail
G
D'Eramo-Melkus
Geralyn
G
Spollett
Vanessa
V
Jefferson
Deborah
D
Chyun
Beth
B
Tuohy
Tanisha
T
Robinson
Anne
A
Kaisen
D000328:Adult; D001741:Black or African American / Q000193:education / Q000208:ethnology; D015992:Body Mass Index; D002983:Clinical Competence / Q000592:standards; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000378:metabolism / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D006442:Glycated Hemoglobin; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009722:Nurse Practitioners / Q000193:education / Q000458:organization & administration*; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D010353:Patient Education as Topic / Q000458:organization & administration*; D010865:Pilot Projects; D015397:Program Evaluation; D020377:Self Efficacy; D012657:Self-Help Groups / Q000458:organization & administration; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing / Q000458:organization & administration*; D014930:Women / Q000193:education / Q000523:psychology
D006442:Glycated Hemoglobin