Culturally competent dietary education for southern rural African Americans with diabetes

The Diabetes Educator
Wanda Anderson-LoftinAbbas Tavakoli

Abstract

The purpose of this article is to describe a culturally competent, dietary self-management intervention designed to improve physiological outcomes, diabetes self-management, and costs of care for high-risk African Americans with type 2 diabetes. A longitudinal, quasi-experimental design was used to evaluate the effectiveness of the intervention for 23 adult African Americans from a physician practice group in rural South Carolina. The intervention consisted of 4 low-fat dietary education classes, 6 discussion groups, and follow-up. Intervention sessions were provided by a dietitian and nurse case managers and framed as social events; families were encouraged to participate. Data suggest that the intervention significantly improved fat-related dietary habits, A1C values, fasting blood glucose, and frequency of acute care visits. A trend in reduction of lipids and weight also was observed. Culturally competent dietary self-management provides a meaningful approach to focused diabetes education for rural African Americans. Integrating nursing case management provides an innovative method of addressing the more global issues of delivery of care to underserved rural populations and decreasing the high costs of care.

References

Nov 1, 1991·The American Journal of Clinical Nutrition·L SheppardL H Kushi
May 1, 1991·Journal of Gerontological Nursing·M C DeLetter
Jun 1, 1991·The American Journal of Clinical Nutrition·S K KumanyikaS K Kumanyaka
Mar 1, 1990·The Diabetes Educator·P G Kittler, K P Sucher
Aug 1, 1995·Diabetes Care·S Clement
Jul 1, 1995·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·V L GreeneJ I Ondrich
Apr 1, 1994·The Journal of Clinical Endocrinology and Metabolism·R J RubinD N Mendelson
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jun 1, 1996·Diabetes Care·S A BrownG Ramìrez
Mar 1, 1996·Addictive Behaviors·R E GlasgowJ F Hollis
Jan 1, 1997·Molecular and Cellular Neurosciences·E M PowellH M Geller
Mar 3, 1998·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·K M FlegalC L Johnson
Feb 25, 1999·The Journal of Nursing Administration·W Anderson-Loftin
Oct 26, 1999·The Diabetes Educator·S A Brown, C L Hanis
Jan 5, 2001·The Diabetes Educator·W Anderson-Loftin, L Moneyham
Feb 24, 2001·Diabetes, Obesity & Metabolism·J Colwell

❮ Previous
Next ❯

Citations

Oct 15, 2005·Nursing Research·Chen-Yen Wang, Siu Ming Alain Chan
Apr 5, 2013·Nutrition Reviews·Jennifer Di NoiaCarol Byrd-Bredbenner
Oct 25, 2006·The Nursing Clinics of North America·Alexandra A García, Sandra Benavides-Vaello
Aug 8, 2015·Annals of the New York Academy of Sciences·Arshiya A BaigDeborah L Burnet
Mar 29, 2012·The Diabetes Educator·Lisa L Sumlin, Alexandra A Garcia
May 28, 2005·The Diabetes Educator·Mary K RheeChristopher D George
May 9, 2014·Western Journal of Nursing Research·Kelley Newlin LewGail D'Eramo Melkus
Dec 7, 2007·The Diabetes Educator·Rachel Clare Povey, David Clark-Carter
Sep 21, 2017·The Diabetes Educator·Lisa L Sumlin, Sharon A Brown
Dec 10, 2008·Canadian Journal of Dietetic Practice and Research : a Publication of Dietitians of Canada = Revue Canadienne De La Pratique Et De La Recherche En Diététique : Une Publication Des Diététistes Du Canada·Jennifer BuccinoJill Hamilton
Jun 2, 2017·Current Diabetes Reports·Sherita Hill GoldenFelicia Hill-Briggs
Mar 1, 2012·Journal of Christian Nursing : a Quarterly Publication of Nurses Christian Fellowship·Teresa N GoreBonnie Sanderson
May 20, 2015·Diabetes Spectrum : a Publication of the American Diabetes Association·Ninfa C Peña-PurcellRyan Hollingsworth

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.