Type 2 diabetes self-management social support intervention at the U.S.-Mexico border.
OBJECTIVE
To pilot test the efficacy of a culturally tailored diabetes self-management social support intervention for Mexican American adults with Type 2 diabetes (T2DM) living in the U.S.-Mexico border region and to test the feasibility of recruiting and training promotoras to participate in intervention delivery.


METHODS
This study used a single-group pretest and posttest design. The convenience sample consisted of 21 Mexican American adults with T2DM. The setting for the study was a community in the Arizona-Sonora, Mexico border region.


METHODS
A bilingual, bicultural certified diabetes educator (CDE) and a nurse researcher developed the intervention to improve T2DM self-management activities for Mexican Americans. Data were collected using self-report questionnaires, glycosolated hemoglobin (HbA(1c)), and anthropometric measures.


RESULTS
Intervention efficacy was demonstrated by an increase in participants' diabetes self-management activities and diabetes knowledge and a decrease in diabetes-related distress and sedentary behaviors. There were no significant changes in physiologic outcomes. Feasibility of recruitment and training of 2 promotoras who participated in intervention delivery was established.


CONCLUSIONS
Promotoras, in collaboration with a CDE, successfully delivered a culturally tailored diabetes self-management social support intervention for Mexican American adults with T2DM. This intervention positively affected diabetes self-management behaviors.
McEwen
Marylyn Morris
MM
The University of Arizona, Tucson, Arizona, USA. mmcewen@nursing.arizona.edu
Pasvogel
Alice
A
Gallegos
Gwen
G
Barrera
Lourdes
L
D001130:Arizona; D003150:Community Health Workers / Q000193:education / Q000458:organization & administration; D054521:Cultural Competency; D003479:Curriculum; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000517:prevention & control; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D017058:Mexican Americans / Q000193:education / Q000208:ethnology; D008875:Middle Aged; D015403:Nursing Evaluation Research; D010353:Patient Education as Topic / Q000458:organization & administration*; D010560:Personnel Selection; D010865:Pilot Projects; D015397:Program Evaluation; D012648:Self Care / Q000379:methods / Q000523:psychology; D012944:Social Support; D011795:Surveys and Questionnaires