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Open Access A Culturally Targeted Self-Management Program for African Americans With Type 2 Diabetes Mellitus Un programme de gestion autonome culturellement spécifique à l'intention des Afro-américains atteints de diabète de type 2

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Abstract:

Inadequate knowledge of the influence of lifestyle on clinical outcomes contributes to the difficulties many African Americans experience with type 2 diabetes mellitus (T2DM). This pilot study examined a 12-week church-based culturally targeted diabetes self-management education (DSME) intervention for middle-aged and older African Americans with T2DM. Quantitative data were collected at baseline and at 12 weeks and included questionnaires and anthropometric measures. There were significant increases in medication adherence ( = .006), healthy eating ( = .009), and foot care adherence ( = .003). The intervention had a clinically significant effect on systolic blood pressure, blood lipids, physical activity, and waist circumference. Church-based culturally targeted DSME interventions may result in improved outcomes for African-American adults with T2DM. The authors discuss the value of community-based interventions that target behavioural changes in populations of chronically ill patients, particularly those who historically have been disenfranchised and/or underserved.

French
Une connaissance insuffisante de l'influence qu'exerce le mode de vie sur les résultats cliniques contribue aux difficultés que vivent de nombreux Afroaméricains atteints de diabète de type 2 (DT2). Cette étude pilote axée sur une collectivité confessionnelle avait pour objet une intervention d'éducation à la gestion autonome du diabète (DSME) qui a été menée pendant une période de 12 semaines et qui ciblait des Afro-américains d'âge mûr et plus âgés atteints de DT2. Des données quantitatives ont été recueillies au début de l'étude et au bout de 12 semaines à l'aide de questionnaires et des mesures anthropométriques ont été prises. Des hausses importantes d'adhésion aux médicaments (p = ,006), à une alimentation saine (p = ,009) et aux soins des pieds (p = ,003) ont été relevées. L'intervention a produit un effet significatif du point de vue clinique sur la tension artérielle systolique, les lipides sanguins, l'activité physique et le tour de taille. Les interventions DSME axées sur une collectivité confessionnelle et culturellement spécifique menées auprès de personnes atteintes de DT2 peuvent donner de meilleurs résultats chez les Afro-américains souffrant de cette maladie. Les auteurs discutent de la valeur des interventions communautaires qui visent à changer les comportements de populations atteintes de maladies chroniques, particulièrement celles qui ont été historiquement exclues et/ou mal desservies.

Keywords: CULTURE; DIABETES; PHYSICAL ACTIVITY; SELF-MANAGEMENT

Document Type: Research Article

Publication date: December 1, 2012

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