Conceptual model of symptom-focused diabetes care for African Americans.
OBJECTIVE
Development of a conceptual model and description of its use to guide the content and format of a community-based intervention. CONCEPTUAL MODEL: We developed a symptom-focused model for type 2 diabetes for older African American women based on the UCSF symptom management model. Key concepts in this model are symptom experience, symptom management, and health outcomes.


METHODS
Review of literature, intervention protocol.


CONCLUSIONS
The symptom-focused conceptual model is an innovative approach to tailoring care to a distinct population and to engaging participants in their own self-care.


CONCLUSIONS
Diabetes is a major cause of morbidity and mortality in African Americans; and diabetes self-management is the cornerstone of care. To better meet the distinct needs of diverse populations and positively affect health outcomes, new tailored approaches should be developed that are culturally sensitive and acceptable.
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA. askelly@email.unc.edu
Anne H
AH
Skelly
Jennifer
J
Leeman
John
J
Carlson
April C M
AC
Soward
Dorothy
D
Burns
D000223:Adaptation, Psychological; D001741:Black or African American / Q000193:education / Q000208:ethnology; D001294:Attitude to Health / Q000208:ethnology; D003376:Counseling / Q000458:organization & administration; D018864:Cultural Diversity; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000208:ethnology / Q000517:prevention & control; D019468:Disease Management; D006301:Health Services Needs and Demand; D006801:Humans; D016294:Models, Nursing; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000458:organization & administration*; D010353:Patient Education as Topic; D010865:Pilot Projects; D011788:Quality of Life / Q000523:psychology; D012424:Rural Population; D012648:Self Care / Q000379:methods / Q000523:psychology; D015144:Southeastern United States; D014930:Women / Q000193:education / Q000523:psychology