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Outcomes of an Intervention to Reduce Uncertainty Among African American Women With Diabetes

¹ University of North Carolina at Greensboro
² University of North Carolina at Chapel Hill

^* To whom correspondence should be addressed. E-mail: emelia_amoako{at}uncg.edu.

	Abstract

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.

First published on July 2, 2008, doi:10.1177/0193945908320465

Western Journal of Nursing Research 2008;30:928.

A more recent version of this article appeared on December 1, 2008


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