Heuristic model linking contextual processes to self-management in African American adults with type 2 diabetes

被引:16
作者
Brody, GH [1 ]
Jack, L [1 ]
Murry, VM [1 ]
Landers-Potts, M [1 ]
Liburd, L [1 ]
机构
[1] Univ Georgia, Inst Behav Res, Athens, GA 30602 USA
关键词
D O I
10.1177/014572170102700509
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose This article examines the influence of various environmental factors on the diabetes self-care practices of African American adults with type 2 diabetes. Methods A heuristic model was developed that considers how community barriers and supports, availability and use of insurance, diabetes education, medical provider-patient relationships, extended family processes, and psychological functioning may indirectly affect metabolic control through the patient's ability to regulate diabetes. Results The proposed model offers a framework to demonstrate the complexity of diabetes management that may be unique to the African American experience. Conclusions A comprehensive view of the environmental context will lead to new and more effective approaches in diabetes education and counseling for African American adults with type 2 diabetes.
引用
收藏
页码:685 / 693
页数:9
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