M L Batts1,2, T L Gary2, K Huss3, M N Hill4, L Bone4, F L Brancati1,2. 1. Department of Medicine, School of Nursing, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA (Ms Batts and Dr Brancati) 2. Department of Epidemiology, the Johns Hopkins Medical Institutions, Baltimore, Maryland (Drs Gary and Brancati) 3. The School of Nursing, the Johns Hopkins Medical Institutions, Baltimore, Maryland (Ms Batts and Drs Hill and Huss) 4. Department of Health Policy and Management, the Johns Hopkins Medical Institutions, Baltimore, Maryland (Dr Hill and Ms Bone)
Abstract
PURPOSE: This study was conducted to determine diabetes care priorities and needs in a group of urban African American adults with type 2 diabetes mellitus. METHODS: One hundred nineteen African American adults with type 2 diabetes, aged 35 to 75, received behavioral/educational interventions from a nurse case manager, a community health worker, or both. Priorities and needs were assessed during 3 intervention visits. RESULTS: The most frequently reported priorities for diabetes care were glucose self-monitoring (61%), medication adherence (47%), and healthy eating (36%). The most frequently addressed diabetes needs were glucose self-monitoring and medication adherence. Most of the intervention visits (77%) addressed non-diabetes-related health issues such as cardiovascular disease (36%) and social issues such as family responsibilities (30%). CONCLUSIONS: Participants' self-reported priorities for diabetes care directly reflected the diabetes needs addressed. Needs beyond the focus of traditional diabetes care (social issues and insurance) are important to address in urban African Americans with type 2 diabetes. Interventions designed to address comprehensive health and social needs should be included in treatment and educational plans for this population.
PURPOSE: This study was conducted to determine diabetes care priorities and needs in a group of urban African American adults with type 2 diabetes mellitus. METHODS: One hundred nineteen African American adults with type 2 diabetes, aged 35 to 75, received behavioral/educational interventions from a nurse case manager, a community health worker, or both. Priorities and needs were assessed during 3 intervention visits. RESULTS: The most frequently reported priorities for diabetes care were glucose self-monitoring (61%), medication adherence (47%), and healthy eating (36%). The most frequently addressed diabetes needs were glucose self-monitoring and medication adherence. Most of the intervention visits (77%) addressed non-diabetes-related health issues such as cardiovascular disease (36%) and social issues such as family responsibilities (30%). CONCLUSIONS:Participants' self-reported priorities for diabetes care directly reflected the diabetes needs addressed. Needs beyond the focus of traditional diabetes care (social issues and insurance) are important to address in urban African Americans with type 2 diabetes. Interventions designed to address comprehensive health and social needs should be included in treatment and educational plans for this population.
Authors: Jerilyn K Allen; Cheryl R Dennison-Himmelfarb; Sarah L Szanton; Lee Bone; Martha N Hill; David M Levine; Murray West; Amy Barlow; LaPricia Lewis-Boyer; Mary Donnelly-Strozzo; Carol Curtis; Katherine Anderson Journal: Circ Cardiovasc Qual Outcomes Date: 2011-09-27
Authors: Sherita Hill Golden; Arleen Brown; Jane A Cauley; Marshall H Chin; Tiffany L Gary-Webb; Catherine Kim; Julie Ann Sosa; Anne E Sumner; Blair Anton Journal: J Clin Endocrinol Metab Date: 2012-06-22 Impact factor: 5.958
Authors: Judith D DePue; Rochelle K Rosen; Andrew Seiden; Nicole Bereolos; Marian L Chima; Michael G Goldstein; Ofeira Nu'usolia; John Tuitele; Stephen T McGarvey Journal: Diabetes Educ Date: 2013-09-19 Impact factor: 2.140
Authors: Jerilyn K Allen; Cheryl R Dennison Himmelfarb; Sarah L Szanton; Lee Bone; Martha N Hill; David M Levine Journal: Contemp Clin Trials Date: 2011-01-15 Impact factor: 2.226
Authors: Felicia Hill-Briggs; Tiffany L Gary; Martha N Hill; Lee R Bone; Frederick L Brancati Journal: J Gen Intern Med Date: 2002-06 Impact factor: 5.128
Authors: Raegan W Durant; Qiana L Brown; Andrea L Cherrington; Lynn J Andreae; Claudia M Hardy; Isabel C Scarinci Journal: Heart Lung Date: 2012-08-21 Impact factor: 2.210
Authors: Randy A Jones; Sharon W Utz; Ishan C Williams; Ivora Hinton; Gina Alexander; Cynthia Moore; Jean Blankenship; Rick Steeves; Norman Oliver Journal: Diabetes Educ Date: 2008 Mar-Apr Impact factor: 2.140