title: Identification of patient-centered outcomes among African American women with type 2 diabetes.
abstract: OBJECTIVE
  African American women carry a disproportionate diabetes burden, yet there is limited information on strategies to identify outcomes women perceive as important intervention outcomes (patient-centered outcomes). This study presents a brief strategy to solicit these outcomes and to describe outcomes identified using the highlighted strategy.
  
  
  METHODS
  Thirty-four African-American women with type 2 diabetes were enrolled in group-based, diabetes/weight management interventions. A diabetes educator asked participants to write down their intervention expectations followed by verbal sharing of responses. Expectation-related themes were identified using an iterative, qualitative, team analytic approach based on audio-recorded responses.
  
  
  RESULTS
  The majority of the expectation-related themes (6 of 10) were reflective of self-care education/management and weight loss-related patient-centered outcomes. The remaining themes were associated with desires to help others prevent or manage diabetes, reduce negative diabetes-related emotions, get rid of diabetes, and stop taking diabetes medications.
  
  
  CONCLUSIONS
  This study adds to a limited body of knowledge regarding patient-centered outcomes among a group that experiences a disproportionate diabetes burden. Future work could include integrating outcomes that are less commonly addressed in diabetes-related lifestyle interventions (e.g., diabetes-related negative emotions), along with more commonly addressed outcomes (e.g., weight loss), to increase the patient-centeredness of the interventions.
authors.affiliation: Department of Surgery, Meharry Medical College, Nashville, TN, USA. Electronic address: smiller@mmc.edu.
authors.forename: Stephania T
authors.initials: ST
authors.lastname: Miller
authors.affiliation: Department of Family and Community Medicine, Meharry Medical College, Nashville, TN, USA.
authors.forename: Sylvie A
authors.initials: SA
authors.lastname: Akohoue
authors.affiliation: Department of Surgery, Meharry Medical College, Nashville, TN, USA.
authors.forename: Malinda A
authors.initials: MA
authors.lastname: Brooks
mesh_terms: D000328:Adult; D001741:Black or African American; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D018802:Patient-Centered Care / Q000379:methods*; D012648:Self Care / Q000379:methods*; D014481:United States / Q000453:epidemiology
keywords: African American women, African Americans; Diabetes; Patient engagement; Patient-centered outcomes; Self-management