Self-management support in "real-world" settings: an empowerment-based intervention.
Objective: This study examined the impact of a 6-month, empowerment-based diabetes self-management support (DSMS) intervention on clinical outcomes, self-care behaviors, and quality of life (QOL) compared to a 6-month control period.Methods: This control-intervention cohort study recruited 77 Africa...
| Publicado en: | Patient Education & Counseling Vol. 79; no. 2; pp. 178 - 185 |
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| Autores principales: | , , , , , , , |
| Formato: | clinical trial research Journal Article |
| Publicado: |
Elsevier B.V.
May2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105178017&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105178017 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07383991 3RX jtl: Patient Education & Counseling issn: 07383991 maglogo: N pubinfo: dt: May2010 vid: 79 iid: 2 pid: 1004 pub: Elsevier B.V. artinfo: ui: 105178017 105178017 NLM19889508 2010630179 10.1016/j.pec.2009.09.029 NLM19889508 PMC2856771 105178017 ppf: 178 ppct: 7 formats: tig: atl: Self-management support in "real-world" settings: an empowerment-based intervention. aug: au: Tang TS Funnell MM Brown MB Kurlander JE Tang, Tricia S Funnell, Martha M Brown, Morton B Kurlander, Jacob E affil: Department of Medical Education, University of Michigan Medical School and Michigan Diabetes Research and Training Center, University of Michigan, MI, USA sug: subj: African Americans Psychosocial Factors Cardiovascular Diseases Prevention and Control Diabetes Mellitus, Type 2 Therapy Power Self Care Psychosocial Factors Adult Aged Aged, 80 and Over Diabetes Mellitus, Type 2 Ethnology Female Human Male Michigan Middle Age Clinical Trials Adult: 19-44 years Aged: 65+ years Aged, 80 & over Middle Aged: 45-64 years Female Male ab: Objective: This study examined the impact of a 6-month, empowerment-based diabetes self-management support (DSMS) intervention on clinical outcomes, self-care behaviors, and quality of life (QOL) compared to a 6-month control period.Methods: This control-intervention cohort study recruited 77 African-American adults with type 2 diabetes. Baseline, 6-month, and 12-month assessments measured A1C, weight, body mass index (BMI), blood pressure, lipids, self-care behaviors, and QOL. During the control period, participants received weekly educational newsletters. During the intervention period, participants attended weekly DSMS groups as frequently as they needed. Sessions were guided by participants' self-management questions and concerns, and also emphasized experiential learning, coping, problem-solving, and goal-setting.Results: The control period found significant improvements for diastolic BP (p<0.05), serum cholesterol (p<0.001), following a healthy diet (p<0.01), and monitoring blood glucose (p<0.01). The intervention period found significant additional improvements for A1C (p<0.001), weight (p<0.05), BMI (p<0.05), and LDL (p<0.001). Compared to the control period, participation in the intervention led to a significant reduction in A1C (p<0.01).Conclusion: Findings suggest that an empowerment-based, DSMS intervention is promising for improving and/or maintaining diabetes-related health, particularly A1C.Practical Implications: Incorporating empowerment principles in DSMS interventions may be useful for supporting patients' self-management efforts in "real-world" settings. pubtype: Academic Journal doctype: clinical trial research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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