Type 2 diabetes self-management social support intervention at the U.S.-Mexico border

Public Health Nurs. 2010 Jul-Aug;27(4):310-9. doi: 10.1111/j.1525-1446.2010.00860.x.


Objectives: To pilot test the efficacy of a culturally tailored diabetes self-management social support intervention for Mexican American adults with Type 2 diabetes (T2DM) living in the U.S.-Mexico border region and to test the feasibility of recruiting and training promotoras to participate in intervention delivery.

Design and sample: This study used a single-group pretest and posttest design. The convenience sample consisted of 21 Mexican American adults with T2DM. The setting for the study was a community in the Arizona-Sonora, Mexico border region.

Interventions: A bilingual, bicultural certified diabetes educator (CDE) and a nurse researcher developed the intervention to improve T2DM self-management activities for Mexican Americans. Data were collected using self-report questionnaires, glycosolated hemoglobin (HbA(1c)), and anthropometric measures.

Results: Intervention efficacy was demonstrated by an increase in participants' diabetes self-management activities and diabetes knowledge and a decrease in diabetes-related distress and sedentary behaviors. There were no significant changes in physiologic outcomes. Feasibility of recruitment and training of 2 promotoras who participated in intervention delivery was established.

Conclusions: Promotoras, in collaboration with a CDE, successfully delivered a culturally tailored diabetes self-management social support intervention for Mexican American adults with T2DM. This intervention positively affected diabetes self-management behaviors.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Arizona
  • Community Health Workers / education
  • Community Health Workers / organization & administration
  • Cultural Competency
  • Curriculum
  • Diabetes Mellitus, Type 2* / ethnology
  • Diabetes Mellitus, Type 2* / prevention & control
  • Feasibility Studies
  • Female
  • Health Behavior / ethnology
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Mexican Americans* / education
  • Mexican Americans* / ethnology
  • Middle Aged
  • Nursing Evaluation Research
  • Patient Education as Topic / organization & administration*
  • Personnel Selection
  • Pilot Projects
  • Program Evaluation
  • Self Care* / methods
  • Self Care* / psychology
  • Social Support*
  • Surveys and Questionnaires