Type 2 diabetes is a chronic disease process that disproportionately affects minorities, mainly those of African-American descent (CDC, 2017). Decreasing the long-term complications associated with this disease requires substantial vigilance, lifestyle changes, medication adherence, and motivation on the part of the individual. The purpose of this descriptive correlational study, guided by Orem's (1991) Conceptual Framework Theory of Self-Care, was to explore the relationship between family support, self-care, and health outcomes in African-American females between the ages of 40-80 years with type 2 diabetes.
View Article and Find Full Text PDFThe purpose of this qualitative study was to describe the lived experience of African-American informal caregivers of family members with Alzheimer's Disease and Related Dementias (ADRD) in a home environment. Using a qualitative, phenomenological approach, a purposive sample of 16 African-American informal caregivers completed an in-depth interview that lasted from 30 to 60 minutes. Four themes emerged: (a) a sense of obligation, (b) an arduous journey, (c) sentinel events, and (d) faith in God.
View Article and Find Full Text PDFAim: The aim of this study was to describe a Neuman Systems Model-guided study of perceptions of family stressors experienced by adult siblings who share caregiving for their parents and the influence of these stressors on adult siblings' relationships.
Background: The task of providing informal care for disabled parents is often shared by adult siblings. Family stressors experienced as part of caregiving may affect the sibling relationship.
This research used a quantitative design to explore perceived stress experiences of African American wives in the care of spouses who are stroke survivors. The wives as caregivers (44.7%) were participants from rural communities in the southeastern region of North Carolina.
View Article and Find Full Text PDFBackground: Type 2 diabetes affects one in five African American women older than 60 years. These women face distinct challenges in managing diabetes self-care. Therefore, tailored self-care interventions for this population need to be developed and tested.
View Article and Find Full Text PDFPurpose: The purpose of this article was to describe effective recruitment and retention strategies used in a community-based intervention study for older, rural African American women with type 2 diabetes.
Methods: The study's design was a randomized control test using a 3-group experimental design in a sample of 180 older, rural African American women (55 years of age and older), with type 2 diabetes. The study employed a range of strategies to successfully recruit and retain older African American women.
Purpose: Development of a conceptual model and description of its use to guide the content and format of a community-based intervention. CONCEPTUAL MODEL: We developed a symptom-focused model for type 2 diabetes for older African American women based on the UCSF symptom management model. Key concepts in this model are symptom experience, symptom management, and health outcomes.
View Article and Find Full Text PDFPurpose: The purpose of this study was to tailor a diabetes management intervention to the cultural and age-related needs and preferences of older, rural African American women.
Methods: Findings from exploratory research, clinical experience, and review of the literature were used to inform the development of a culture- and function-specific intervention. Findings informed the design of the intervention, format of intervention delivery, format of intervention materials, and training provided to interventionists.
In this presentation, a diabetes explanatory model of rural, African American adults at high risk for diabetes is described. Kleinman's explanatory model of illness was used as the organizing framework. African American men and women (N=42), between the ages of 18 and 51, participated.
View Article and Find Full Text PDFRoy's Adaptation Model was used to study problems and coping strategies reported by 102 blacks on hemodialysis. Although the most frequently identified problems were fatigue, muscle soreness, and physical limitations, food and fluid restrictions were most bothersome. Participants used multiple strategies to cope with the illness and its treatment.
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