title: Development and validation of a diabetes self-management instrument for older African-Americans.
abstract: The objective of this study was to develop and validate a new diabetes self-management instrument for older African-Americans 65 years of age and older. The Self-Care Utility Geriatric African-American Rating (SUGAAR) was developed using the American Diabetes Association's standards for the management of type 2 diabetes in older adults and cognitive interviews with older African-Americans. The instrument underwent extensive review by a panel of experts, two rounds of cognitive interviews, and a pilot test before it was administered in an interview format to 125 community-dwelling older African-Americans. The instrument demonstrated content validity and significant, but modest, convergent validity with items from an established diabetes self-management instrument. Social workers and health care professionals can use the SUGARR to assess diabetes self-management and to identify areas for education and support for older African-Americans with type 2 diabetes.
authors.affiliation: a Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC) , Department of Veterans Affairs , Birmingham , Alabama , USA.|b Comprehensive Center for Healthy Aging, School of Medicine , The University of Alabama at Birmingham , Birmingham , Alabama , USA.
authors.forename: Gina M
authors.initials: GM
authors.lastname: McCaskill
authors.affiliation: c School of Social Work , The University of Alabama , Tuscaloosa , Alabama , USA.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Bolland
authors.affiliation: a Birmingham/Atlanta Geriatric Research, Education, and Clinical Center (GRECC) , Department of Veterans Affairs , Birmingham , Alabama , USA.|b Comprehensive Center for Healthy Aging, School of Medicine , The University of Alabama at Birmingham , Birmingham , Alabama , USA.
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Burgio
authors.affiliation: d Department of Community and Rural Medicine , The University of Alabama , Tuscaloosa , Alabama , USA.
authors.forename: James
authors.initials: J
authors.lastname: Leeper
mesh_terms: D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D015190:Blood Glucose Self-Monitoring; D003924:Diabetes Mellitus, Type 2 / Q000208:ethnology* / Q000628:therapy*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D000073278:Self-Management; D012947:Social Work / Q000379:methods* / Q000592:standards; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires / Q000592:standards; D014481:United States
keywords: Diabetes self-management; instrument validation; older African-Americans