Emily Piven Haltiwanger; Effect of a Group Adherence Intervention for Mexican-American Older Adults With Type 2 Diabetes. Am J Occup Ther 2012;66(4):447-454. doi: 10.5014/ajot.2012.004457.
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© 2014 American Occupational Therapy Association
OBJECTIVE. I evaluated the effect of a culturally tailored, peer-led support group intervention on improvement in adherence behaviors of Mexican-American older adults with type 2 diabetes mellitus and obtained feedback on the cultural relevance of the manual that structured the intervention.
METHOD. The one-group pretest–posttest design used five self-report questionnaires and blood testing to measure change among 4 men and 12 women, ages 60–85.
RESULTS. Empowerment, self-efficacy, and attitude were highly significant at 2-, 4-, and 6-mo posttests. Glycosylated hemoglobin test results were significant at p < .05 between pretest and 2-mo posttest with a stabilizing effect on the 6-mo posttest.
CONCLUSION. Mexican-American older adults’ adherence may improve with a culturally sensitive, structured peer-led program with indirect consultation from an occupational therapist.
This research produced significant to highly significant statistical results, as measured by reduction in average blood sugar (HbA1c) and the highly significant values on three questionnaires (Diabetes Self-Efficacy Scale, Diabetes Attitude Scale, and Diabetes Empowerment Scale).
Results suggest that participants improved their self-perception of being prepared to handle their disease.
Blood tests indicated that participants better controlled their glucose levels.
Participants reflected that social support was welcome at any stage of the illness and agreed that people with diabetes can provide meaningful support to each other, given topical guidelines and rules of interaction to follow.
Social support can be a powerful tool for motivation to change because vicarious learning occurs when one recognizes and imitates others’ success (Bandura, 1977).
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