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Outcomes of an Intervention to Reduce Uncertainty Among African American Women with DiabetesThe University of North Carolina at Greensboro, emelia_amoako{at}uncg.edu
The University of North Carolina at Chapel Hill
The University of North Carolina at Greensboro Poor adjustment to diabetes in older African American women may result from uncertainty, stemming from a lack of information about self-care activities, a complexity of self-care activities, comorbid conditions, and a lack of resources. This study evaluated a telephone intervention to reduce uncertainty (through problem-solving strategies, information, cognitive reframing, and improved patient—provider communication)—namely, to measure its effects on diabetes self-care and psychosocial adjustment. Sixty-eight older African American women were randomly assigned to an experimental group and a control group. The experimental group received the intervention for 4 weeks, and the control group received usual care. Psychosocial adjustment and self-care were measured in all participants at baseline and 6 weeks postbaseline. The experimental group reported increased participation in exercise (self-care component; p < .001) and improvement in psychosocial adjustment (p < .001). Thus, reducing the uncertainty related to diabetes self-care improves self-care exercise, as well as psychosocial adjustment.
Key Words: diabetes self-care • older African American women • psychosocial adjustment • uncertainty
This version was published on December
1, 2008 Western Journal of Nursing Research, Vol. 30, No. 8,
928-942 (2008) |
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