Identification of patient-centered outcomes among African American women with type 2 diabetes.

Miller ST, Akohoue SA, Brooks MA
Diabetes Res Clin Pract. 2014 106 (3): 487-90

PMID: 25458332 · PMCID: PMC4346206 · DOI:10.1016/j.diabres.2014.09.049

AIMS - African American women carry a disproportionate diabetes burden, yet there is limited information on strategies to identify outcomes women perceive as important intervention outcomes (patient-centered outcomes). This study presents a brief strategy to solicit these outcomes and to describe outcomes identified using the highlighted strategy.

METHODS - Thirty-four African-American women with type 2 diabetes were enrolled in group-based, diabetes/weight management interventions. A diabetes educator asked participants to write down their intervention expectations followed by verbal sharing of responses. Expectation-related themes were identified using an iterative, qualitative, team analytic approach based on audio-recorded responses.

RESULTS - The majority of the expectation-related themes (6 of 10) were reflective of self-care education/management and weight loss-related patient-centered outcomes. The remaining themes were associated with desires to help others prevent or manage diabetes, reduce negative diabetes-related emotions, get rid of diabetes, and stop taking diabetes medications.

CONCLUSION - This study adds to a limited body of knowledge regarding patient-centered outcomes among a group that experiences a disproportionate diabetes burden. Future work could include integrating outcomes that are less commonly addressed in diabetes-related lifestyle interventions (e.g., diabetes-related negative emotions), along with more commonly addressed outcomes (e.g., weight loss), to increase the patient-centeredness of the interventions.

Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

MeSH Terms (12)

Adult African Americans Diabetes Mellitus, Type 2 Female Humans Life Style Middle Aged Patient-Centered Care Patient Education as Topic Patient Satisfaction Self Care United States

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