Characteristics of successful interventions included using problem solving with the patient , culturally tailoring the intervention , and using a nurse educator .
OBJECTIVE The use of behavioral interventions has been shown to improve glycemic control , however , the effectiveness of different behavioral interventions in one of the most high risk population s , African Americans , remains unclear .
Our systematic review identified and examined findings of published behavioral interventions targeted at African Americans to improve glycemic control .
The goal of our study was to distinguish which interventions were effective and identify areas for future research .
Self-Efficacy, Problem Solving, and Social-Environmental Support Are Associated With Diabetes Self-Management Behaviors
OBJECTIVE To evaluate associations between psychosocial and social-environmental variables and diabetes self-management , and diabetes control . RESEARCH DESIGN AND METHODS Baseline data from a type 2 diabetes self-management r and omized trial with 463 adults having elevated BMI ( M = 34.8 kg/m2 ) were used to investigate relations among demographic , psychosocial , and social-environmental variables ; dietary , exercise , and medication-taking behaviors ; and biologic outcomes . RESULTS Self-efficacy , problem solving , and social-environmental support were independently associated with diet and exercise  , increasing the variance accounted for by 23 and 19 % , respectively . Only diet contributed to explained variance in BMI ( β = −0.17 , P = 0.0003 ) and self-rated health status ( β = 0.25 , P < 0.0001 ) ; and only medication-taking behaviors contributed to lipid ratio ( total – to – HDL ) ( β = −0.20 , P = 0.0001 ) and A1C ( β = −0.21 , P < 0.0001 ) . CONCLUSIONS Interventions should focus on enhancing self-efficacy , problem solving , and social-environmental support to improve self-management of diabetes
Characteristics of successful interventions included using problem solving with the patient , culturally tailoring the intervention , and using a nurse educator .
OBJECTIVE The use of behavioral interventions has been shown to improve glycemic control , however , the effectiveness of different behavioral interventions in one of the most high risk population s , African Americans , remains unclear .
Our systematic review identified and examined findings of published behavioral interventions targeted at African Americans to improve glycemic control .
The goal of our study was to distinguish which interventions were effective and identify areas for future research .