Applied Nursing Research
Volume 18, Issue 4 , Pages 213-220, November 2005

Symptom-focused management for African American women with Type 2 diabetes: a pilot study☆

School of Nursing, University of North Carolina–Chapel Hill, Chapel Hill, NC 27599-7460, USA

Received 14 April 2003; received in revised form 26 July 2004; accepted 31 August 2004.

Abstract 

The purpose of this pilot study was to test the effectiveness of an in-home, nurse-delivered, symptom-focused teaching/counseling intervention with older rural African American women who have type 2 diabetes. Forty-one participants were randomly assigned to either the intervention or the comparison group. Participants in the intervention showed statistically significant improvement in their medication, diet, home glucose monitoring self-care practices, perceptions of quality of life, and distress from symptoms. Both groups evidenced improvement of HbA1c levels. The intervention group achieved greater improvement, but the difference was not statistically significant. Participant satisfaction was high. Further studies should look into the cost of the intervention, as compared with that of usual care, and its long-term effects.

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☆ Funding sources: American Association of Diabetes Educators/Sigma Theta Tau Research Award No. 6-65039 (1999–2000); National Institute of Nursing Research Grant to the Center for Preventing and Managing Chronic Illness in Vulnerable Populations, School of Nursing, University of North Carolina–Chapel Hill/Research Award No. P30 NR03962 (2000–2001).

PII: S0897-1897(05)00068-6

doi:10.1016/j.apnr.2004.08.008

Applied Nursing Research
Volume 18, Issue 4 , Pages 213-220, November 2005

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