title: Effect of a group adherence intervention for Mexican-American older adults with type 2 diabetes.
abstract: OBJECTIVE
  I evaluated the effect of a culturally tailored, peer-led support group intervention on improvement in adherence behaviors of Mexican-American older adults with type 2 diabetes mellitus and obtained feedback on the cultural relevance of the manual that structured the intervention.
  
  
  METHODS
  The one-group pretest-posttest design used five self-report questionnaires and blood testing to measure change among 4 men and 12 women, ages 60-85.
  
  
  RESULTS
  Empowerment, self-efficacy, and attitude were highly significant at 2-, 4-, and 6-mo posttests. Glycosylated hemoglobin test results were significant at p < .05 between pretest and 2-mo posttest with a stabilizing effect on the 6-mo posttest.
  
  
  CONCLUSIONS
  Mexican-American older adults' adherence may improve with a culturally sensitive, structured peer-led program with indirect consultation from an occupational therapist.
authors: Occupational Therapy, College of Health Sciences, University of Texas at El Paso, 500 West University, El Paso, TX 79968, USA. emilyh@utep.edu
authors: Emily Piven
authors: EP
authors: Haltiwanger
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D017058:Mexican Americans; D010349:Patient Compliance; D012657:Self-Help Groups