title: A resilience intervention in African-American adults with type 2 diabetes.
abstract: OBJECTIVE
  To explore the feasibility and outcomes of a resilience-based diabetes self-management education (RB-DSME) program to improve psychological and physiological health in African-American adults with type 2 diabetes.
  
  
  METHODS
  An experimental group (N = 32) received RB-DSME and a comparison group (N = 33) received standard DSME. Psychological and physiological measures were taken at baseline and 6 months. ANCOVAs assessed whether the experimental group improved its overall outcome relative to the comparison group, while controlling for baseline scores.
  
  
  RESULTS
  The experimental group's outcomes were significantly improved vis-à-vis the comparison group for diabetes knowledge, positive meaning, HDL cholesterol, and fasting blood glucose.
  
  
  CONCLUSIONS
  The RB-DSME shows feasibility and promise for enhancing health; a full-scale randomized trial is warranted.
authors.affiliation: The University of Texas, Austin, TX, USA. msteinhardt@austin.utexas.edu.
authors.forename: Mary A
authors.initials: MA
authors.lastname: Steinhardt
authors.affiliation: The University of Texas School of Nursing Family Wellness Center, Austin, TX, USA.
authors.forename: Sharon A
authors.initials: SA
authors.lastname: Brown
authors.affiliation: The University of Texas, Austin, TX, USA.
authors.forename: Susan K
authors.initials: SK
authors.lastname: Dubois
authors.affiliation: The University of Texas, Austin, TX, USA.
authors.forename: Louis
authors.initials: L
authors.lastname: Harrison
authors.affiliation: The University of Texas, Austin, TX, USA.
authors.forename: H Matthew
authors.initials: HM
authors.lastname: Lehrer
authors.affiliation: Community College Research Center, Teachers College, Columbia University, New York, NY, USA.
authors.forename: Shanna S
authors.initials: SS
authors.lastname: Jaggars
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D000223:Adaptation, Psychological; D001741:Black or African American / Q000523:psychology; D001786:Blood Glucose / Q000032:analysis; D008076:Cholesterol, HDL / Q000097:blood; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D010353:Patient Education as Topic / Q000379:methods; D055500:Resilience, Psychological; D012648:Self Care / Q000379:methods / Q000523:psychology
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL