A culturally sensitive diabetes peer support for older Mexican-Americans |
| |
Authors: | Haltiwanger Emily Piven Brutus Henry |
| |
Institution: | University of Texas at El Paso, Rehabilitation Sciences, El Paso, TX, USA. emilyh@utep.edu |
| |
Abstract: | The purpose of this study was to determine if a peer-led diabetes support group intervention could improve adherence to recommendations for self-management in 42 Mexican-American elders with type 2 diabetes. This mixed-method pilot study occurred at a community-based diabetes education centre in Texas. The 10-week intervention programme was compared to usual care on five self-reported questionnaires and blood tests during four collection periods. Participants displayed statistically significant improvements in blood sugar, self-efficacy, transformational change and personal resources. Qualitative themes were derived from 30 focus group meetings, which were as follows: do not trust the system, choice + control = power and the social cost of diabetes. The results suggested a consultation role for occupational therapists in training peer leaders to learn to lead and manage community-based diabetes self-management programmes. Limitations were the sample size of the convenience sample, and the lack of qualitative analysis of the control group discussions. Future research should involve a study of expanded community-based social networks using experimental design. |
| |
Keywords: | diabetes adherence occupational therapy psychosocial support |
本文献已被 PubMed 等数据库收录! |
|