Assessing The Efficacy Of A Culturally Informed Adherence Intervention For Rural African Americans With Type 2 Diabetes

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Assessing the Efficacy of a Culturally Informed Adherence Intervention for Rural African Americans with Type 2 Diabetes

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Author : Taylor E. Rush
Publisher :
ISBN 13 :
Total Pages : 110 pages
Book Rating : 4.:/5 (857 download)

Book Synopsis Assessing the Efficacy of a Culturally Informed Adherence Intervention for Rural African Americans with Type 2 Diabetes by : Taylor E. Rush

Download or read book Assessing the Efficacy of a Culturally Informed Adherence Intervention for Rural African Americans with Type 2 Diabetes written by Taylor E. Rush and published by . This book was released on 2013 with total page 110 pages. Available in PDF, EPUB and Kindle. Book excerpt: African Americans (AAs) experience higher rates of type 2 diabetes mellitus (T2DM), and difficulty adhering to T2DM treatment plans. The current study aims were to create a culturally informed intervention for AAs with T2DM and determine its efficacy for increasing treatment adherence, diabetes knowledge, self-efficacy, problem-focused coping, and mindfulness, and reducing emotional distress and HbA1c levels. A focus group with AAs with T2DM was conducted to understand barriers to treatment adherence. Information provided was incorporated into the development of a culturally informed T2DM adherence intervention for AAs. AAs with T2DM experiencing adherence difficulty (N = 20) recruited from a Family Medicine Clinic were randomly assigned to the intervention group (IG, n = 12) and an education comparison group (ECG, n = 8). Measures of adherence, knowledge, self-efficacy, and psychological factors were administered pre- (T1), immediately post- (T2), and 3-months post-intervention (T3). HbA1c levels were abstracted from participants' medical records at T1 and T3. The sample was 50% female, 70% with some college, 50% single, 75% unemployed, with an average age of 50.8 years and T2DM diagnosis length of 6.9 years. No significant group differences were observed on T2 or T3 measures. A significant time effect on healthy dietary behavior adherence reflected increases from T1-T2-T3 [Wilks' Lambda = 0.47, F(2, 10) = 5.52, p = .02]. Within groups, the IG exhibited a significant increase in physical activity adherence [t(11) = -2.34, p = .04] and mindfulness [t(11) = -2.53, p = .03] and approached a significant decrease in depressive symptoms [t(4) = 2.31, p = .07] from T1-T2; and a significant increase in healthy dietary behavior adherence [t(7) = 2.76, p = .03] and significant reduction in HbA1c [t(8) = 2.55, p = .03] from T1-T3. The ECG demonstrated a significant increase from T1-T3 on diabetes-specific self-efficacy [t(4) = 2.83, p = .05]. While no between-group differences were observed, findings indicate this intervention's components hold promise for changing adherence behaviors for rural AAs with T2DM. Future research with a larger sample is warranted to better elucidate treatment effects and adding a long-term follow-up component would allow assessment of longitudinal effects.

The Effectiveness of Providing Cultural Diabetes Self-management Education to African Americans

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Author : Andrea Alexis
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

Book Synopsis The Effectiveness of Providing Cultural Diabetes Self-management Education to African Americans by : Andrea Alexis

Download or read book The Effectiveness of Providing Cultural Diabetes Self-management Education to African Americans written by Andrea Alexis and published by . This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Diabetes Self-management education (DSME) was utilized to provide education to a group of African American patients 18 years and older who attend a primary care clinic in Georgia. Culturally specific diabetes education aimed at increasing knowledge and self-management skills and decreasing blood sugar levels was provided over an 8-week period of time. Using a pretest/posttest design, the diabetes self-management questionnaire (DSMQ) was utilized pre and post intervention to assess for changes in knowledge and self-management skills. Pre and post test results as well as pre and post intervention blood sugars were analyzed.. The findings support culturally tailored DSME as an effective intervention in increasing knowledge and self-management skills as well as improving blood sugar levels in African Americans in the clinic setting. key-words: blood glucose, type 2 diabetes, African Americans, cultural diabetes education, Diabetes self-management education (DSME), diabetes self-management questionnaire (DSMQ), evidence-based practice. " -- Abstract

Efficacy of Behavioral Interventions in African Americans with Type II Diabetes

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Author : Tangela Nicole Hales
Publisher :
ISBN 13 :
Total Pages : 180 pages
Book Rating : 4.:/5 (927 download)

Book Synopsis Efficacy of Behavioral Interventions in African Americans with Type II Diabetes by : Tangela Nicole Hales

Download or read book Efficacy of Behavioral Interventions in African Americans with Type II Diabetes written by Tangela Nicole Hales and published by . This book was released on 2015 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Focus Group Methodology

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Author : Pranee Liamputtong
Publisher : SAGE Publications
ISBN 13 : 1847879098
Total Pages : 225 pages
Book Rating : 4.8/5 (478 download)

Book Synopsis Focus Group Methodology by : Pranee Liamputtong

Download or read book Focus Group Methodology written by Pranee Liamputtong and published by SAGE Publications. This book was released on 2011-03-28 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: A friendly introduction to the basics of focus group methods with an international feel and an ethical sensibility.

Health Literacy

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Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133319
Total Pages : 366 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Health Literacy by : Institute of Medicine

Download or read book Health Literacy written by Institute of Medicine and published by National Academies Press. This book was released on 2004-06-29 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: To maintain their own health and the health of their families and communities, consumers rely heavily on the health information that is available to them. This information is at the core of the partnerships that patients and their families forge with today's complex modern health systems. This information may be provided in a variety of forms â€" ranging from a discussion between a patient and a health care provider to a health promotion advertisement, a consent form, or one of many other forms of health communication common in our society. Yet millions of Americans cannot understand or act upon this information. To address this problem, the field of health literacy brings together research and practice from diverse fields including education, health services, and social and cultural sciences, and the many organizations whose actions can improve or impede health literacy. Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society. By examining the extent of limited health literacy and the ways to improve it, we can improve the health of individuals and populations.

Innovative Care for Chronic Conditions

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Author : JoAnne Epping-Jordan
Publisher : World Health Organization
ISBN 13 : 9241590173
Total Pages : 117 pages
Book Rating : 4.2/5 (415 download)

Book Synopsis Innovative Care for Chronic Conditions by : JoAnne Epping-Jordan

Download or read book Innovative Care for Chronic Conditions written by JoAnne Epping-Jordan and published by World Health Organization. This book was released on 2002-06-02 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: The dramatic increase in chronic conditions, including noncommunicable diseases, mental disorders, and certain communicable diseases such as HIV/AIDS demands creative action. The WHO created this document to alert decision-makers throughout the world about these important changes in global health, and to present health care solutions for managing this rising burden.

Mental Health

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Author :
Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Mental Health by :

Download or read book Mental Health written by and published by . This book was released on 2001 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Bridging the Evidence Gap in Obesity Prevention

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Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309149894
Total Pages : 336 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis Bridging the Evidence Gap in Obesity Prevention by : Institute of Medicine

Download or read book Bridging the Evidence Gap in Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-24 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Psychosocial Care for People with Diabetes

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Author : Deborah Young-Hyman
Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Unequal Treatment

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Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019)

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Author : U.S. Department of Health and Human Services
Publisher : Lulu.com
ISBN 13 : 1794755136
Total Pages : 208 pages
Book Rating : 4.7/5 (947 download)

Book Synopsis TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) by : U.S. Department of Health and Human Services

Download or read book TIP 35: Enhancing Motivation for Change in Substance Use Disorder Treatment (Updated 2019) written by U.S. Department of Health and Human Services and published by Lulu.com. This book was released on 2019-11-19 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Motivation is key to substance use behavior change. Counselors can support clients' movement toward positive changes in their substance use by identifying and enhancing motivation that already exists. Motivational approaches are based on the principles of person-centered counseling. Counselors' use of empathy, not authority and power, is key to enhancing clients' motivation to change. Clients are experts in their own recovery from SUDs. Counselors should engage them in collaborative partnerships. Ambivalence about change is normal. Resistance to change is an expression of ambivalence about change, not a client trait or characteristic. Confrontational approaches increase client resistance and discord in the counseling relationship. Motivational approaches explore ambivalence in a nonjudgmental and compassionate way.

The Ecology of Stress

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Author : Stevan E. Hobfoll
Publisher : Taylor & Francis
ISBN 13 : 9780891168454
Total Pages : 388 pages
Book Rating : 4.1/5 (684 download)

Book Synopsis The Ecology of Stress by : Stevan E. Hobfoll

Download or read book The Ecology of Stress written by Stevan E. Hobfoll and published by Taylor & Francis. This book was released on 1988 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Clinical Case Studies for the Family Nurse Practitioner

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Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
ISBN 13 : 1118277856
Total Pages : 432 pages
Book Rating : 4.1/5 (182 download)

Book Synopsis Clinical Case Studies for the Family Nurse Practitioner by : Leslie Neal-Boylan

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Dissertation Abstracts International

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Author :
Publisher :
ISBN 13 :
Total Pages : 946 pages
Book Rating : 4.F/5 ( download)

Book Synopsis Dissertation Abstracts International by :

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2008 with total page 946 pages. Available in PDF, EPUB and Kindle. Book excerpt:

America's Uninsured Crisis

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Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309140889
Total Pages : 238 pages
Book Rating : 4.3/5 (91 download)

Book Synopsis America's Uninsured Crisis by : Institute of Medicine

Download or read book America's Uninsured Crisis written by Institute of Medicine and published by National Academies Press. This book was released on 2009-07-01 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: When policy makers and researchers consider potential solutions to the crisis of uninsurance in the United States, the question of whether health insurance matters to health is often an issue. This question is far more than an academic concern. It is crucial that U.S. health care policy be informed with current and valid evidence on the consequences of uninsurance for health care and health outcomes, especially for the 45.7 million individuals without health insurance. From 2001 to 2004, the Institute of Medicine (IOM) issued six reports, which concluded that being uninsured was hazardous to people's health and recommended that the nation move quickly to implement a strategy to achieve health insurance coverage for all. The goal of this book is to inform the health reform policy debateâ€"in 2009â€"with an up-to-date assessment of the research evidence. This report addresses three key questions: What are the dynamics driving downward trends in health insurance coverage? Is being uninsured harmful to the health of children and adults? Are insured people affected by high rates of uninsurance in their communities?

Perspectives on Health Equity and Social Determinants of Health

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Author : National Academy of Medicine
Publisher :
ISBN 13 : 9780309705394
Total Pages : 0 pages
Book Rating : 4.7/5 (53 download)

Book Synopsis Perspectives on Health Equity and Social Determinants of Health by : National Academy of Medicine

Download or read book Perspectives on Health Equity and Social Determinants of Health written by National Academy of Medicine and published by . This book was released on 2023-09-08 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social factors, signals, and biases shape the health of our nation. Racism and poverty manifest in unequal social, environmental, and economic conditions, resulting in deep-rooted health disparities that carry over from generation to generation. In Perspectives on Health Equity and Social Determinants of Health, authors call for collective action across sectors to reverse the debilitating and often lethal consequences of health inequity. This edited volume of discussion papers provides recommendations to advance the agenda to promote health equity for all. Organized by research approaches and policy implications, systems that perpetuate or ameliorate health disparities, and specific examples of ways in which health disparities manifest in communities of color, this Special Publication provides a stark look at how health and well-being are nurtured, protected, and preserved where people live, learn, work, and play. All of our nation's institutions have important roles to play even if they do not think of their purpose as fundamentally linked to health and well-being. The rich discussions found throughout Perspectives on Health Equity and Social Determinants of Health make way for the translation of policies and actions to improve health and health equity for all citizens of our society. The major health problems of our time cannot be solved by health care alone. They cannot be solved by public health alone. Collective action is needed, and it is needed now.

Closing the Quality Gap

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Author : Kaveh G. Shojania
Publisher :
ISBN 13 : 9781587632594
Total Pages : 7 pages
Book Rating : 4.6/5 (325 download)

Book Synopsis Closing the Quality Gap by : Kaveh G. Shojania

Download or read book Closing the Quality Gap written by Kaveh G. Shojania and published by . This book was released on 2004 with total page 7 pages. Available in PDF, EPUB and Kindle. Book excerpt: