Patient Priorities and Needs for Diabetes Care Among Urban African American Adults

Author:

Batts Marian L.1,Gary Tiffany L.2,Huss Karen3,Hill Martha N.4,Bone Lee5,Brancati Frederick L.6

Affiliation:

1. Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland

2. Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland

3. School of Nursing, Johns Hopkins Medical Institutions, Baltimore, Maryland

4. Department of Health Policy and Management, Johns Hopkins Medical Institutions, Baltimore, Maryland; School of Nursing, Johns Hopkins Medical Institutions, Baltimore, Maryland

5. Department of Health Policy and Management, Johns Hopkins Medical Institutions, Baltimore, Maryland

6. Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland; Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, Maryland; Welch Center for Prevention, Epidemiology, and Clinical Research, 2024 East Monument Street, Suite 2-600, Baltimore, MD 21205

Abstract

PURPOSE this study was conducted to determine diabetes care priorities and needs in a group of urban African American adults with type 2 diabetes mellitus. METHODS One hundred nineteen African American adults with type 2 diabetes, aged 35 to 75, received behavioral/educational interventions from a nurse case manager, a community health worker, or both. Priorities and needs were assessed during 3 intervention visits. RESULTS The most frequently reported priorities for diabetes care were glucose self-monitoring (61%), medication adherence (47%), and healthy eating (36%). The most frequently addressed diabetes needs were glucose self-monitoring and medication adherence. Most of the intervention visits (77%) addressed nondiabetes-related health issues such as cardiovascular disease (36%) and social issues such as family responsibilities (30%). CONCLUSIONS Participants' self-reported priorities for diabetes care directly reflected the diabetes needs addressed. Needs beyond the focus of traditional diabetes care (social issues and insurance) are important to address in urban African Americans with type 2 diabetes. Interventions designed to address comprehensive health and social needs should be included in treatment and educational plans for this population.

Publisher

SAGE Publications

Subject

Health Professions (miscellaneous),Endocrinology, Diabetes and Metabolism

Reference33 articles.

1. 1. National Diabetes Data Group. Diabetes in America. 2nd ed. Bethesda, Md: National Institutes of Health, National Institutes of Diabetes and Digestive and Kidney Disorders; 1995. NIH publication 95-1468: chap 11, 30, 31.

2. Glycemic Control in a Sample of Black and White Clinic Patients with NIDDM

3. Disparity in Glycemic Control and Adherence Between African-American and Caucasian Youths With Diabetes: Family and community contexts

4. A Community-Based Study of Explanatory Factors for the Excess Risk for Early Renal Function Decline in Blacks vs Whites With Diabetes

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