Developing a new generation of ongoing: Diabetes self-management support interventions: a preliminary report

Diabetes Educ. Jan-Feb 2005;31(1):91-7. doi: 10.1177/0145721704273231.


Purpose: The study examined the feasibility, acceptability, and potential impact of an innovative, community-based, ongoing self-management intervention aimed at enhancing and sustaining self-care behaviors over the long term among urban African Americans with type 2 diabetes.

Methods: Sixty-two African American men and women completed the study. Participants were invited to attend 24 weekly, consecutive, diabetes self-management support/ education groups. The flow of the weekly group sessions was guided by questions and concerns of the patients. Baseline and 6-month follow-up metabolic functioning, lipid profiles, cardiovascular functioning, and self-care behaviors were assessed.

Results: Ninety percent (n = 56) of the sample attended at least 1 session; 40% attended at least 12 or more sessions. Paired t tests found significant improvements in body mass index (P < .001), total cholesterol (P < .01), high-density lipoprotein (P < .05), and low-density lipoprotein (P < .001). Significant increases were also found for self-care behaviors (P < .05).

Conclusions: Preliminary evidence suggests that participation in this weekly problem-based, self-management support intervention can yield diabetes-related health benefits.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • African Continental Ancestry Group
  • Aged
  • Diabetes Mellitus / psychology
  • Diabetes Mellitus / rehabilitation*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Michigan
  • Middle Aged
  • Patient Education as Topic
  • Self Care*
  • Socioeconomic Factors