G H Brody1, L Jack2, V M Murry1, M Landers-Potts1, L Liburd2. 1. The Institute for Behavioral Re search, University of Georgia, Athens, Georgia (Drs Brody, Murry, and Landers Potts) 2. The Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, zzm321990Georgia (DrJack and Ms Liburd)
Abstract
PURPOSE: This article examines the influence of various environmental factors on the diabetes self-care practices of African American adults with type 2 diabetes. METHODS: A heuristic model was developed that considers how community barriers and supports, availability and use of insurance, diabetes education, medical provider-patient relationships, extended family processes, and psychological functioning may indirectly affect metabolic control through the patient's ability to regulate diabetes. RESULTS: The proposed model offers a framework to demonstrate the complexity of diabetes management that may be unique to the African American experience. CONCLUSIONS: A comprehensive view of the environmental context will lead to new and more effective approaches in diabetes education and counseling for African American adults with type 2 diabetes.
PURPOSE: This article examines the influence of various environmental factors on the diabetes self-care practices of African American adults with type 2 diabetes. METHODS: A heuristic model was developed that considers how community barriers and supports, availability and use of insurance, diabetes education, medical provider-patient relationships, extended family processes, and psychological functioning may indirectly affect metabolic control through the patient's ability to regulate diabetes. RESULTS: The proposed model offers a framework to demonstrate the complexity of diabetes management that may be unique to the African American experience. CONCLUSIONS: A comprehensive view of the environmental context will lead to new and more effective approaches in diabetes education and counseling for African American adults with type 2 diabetes.