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Cited by 41Diabetes Management and EducationResilience and Mental HealthOptimism, Hope, and Well-being

A resilience intervention in African-American adults with type 2 diabetes

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Steinhardt, Mary A., Brown, Sharon A., Dubois, Susan K., Harrison, Jr., Louis, Lehrer, H. Matthew, Jaggars, Shanna S.·2015·American Journal of Health Behavior
DOI 10.5993/ajhb.39.4.7PMC PMC8117176
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Abstract

OBJECTIVES: To explore the feasibility and outcomes of a resilience-based diabetes self-management education (RB-DSME) program to improve psychological and physiological health in African-American adults with type 2 diabetes. METHODS: An experimental group (N = 32) received RB-DSME and a comparison group (N = 33) received standard DSME. Psychological and physiological measures were taken at baseline and 6 months. ANCOVAs assessed whether the experimental group improved its overall outcome relative to the comparison group, while controlling for baseline scores. RESULTS: The experimental group's outcomes were significantly improved vis-à-vis the comparison group for diabetes knowledge, positive meaning, HDL cholesterol, and fasting blood glucose. CONCLUSIONS: The RB-DSME shows feasibility and promise for enhancing health; a full-scale randomized trial is warranted.

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  • Other well-being outcomes in resilience studies, including positive affect, quality of life, self-efficacy, and purpose, showed no significant changes.

    “Additional well-being specific outcomes including positive affect, quality of life, self-efficacy, and purpose were measured [68, 70], but none showed significant change.”

    From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [68]

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Authors
Steinhardt, M. A., Brown, S. A., Dubois, S. K., Harrison, Jr., Lehrer, H. M., & Jaggars, S. S.
Affiliations
  • The University of Texas at Austin (US)
  • Columbia University (US)
ORCID
Venue
American Journal of Health Behavior
Publisher
JCFCorp SG PTE LTD
Published
2015-07-01
Volume
39
Issue
4
Pages
507-518
ISSN
  • 1087-3244 (ISSN-L)
  • 1945-7359
DOI
10.5993/ajhb.39.4.7
PMC
PMC8117176
OpenAlex
W771335441
Cited by
41
References
5
Citations by year
2026: 3 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 6 · 2018: 6 · 2017: 3
FWCI
2.60
Type
journal article
Language
en
Open access
Locations
  • American Journal of Health Behavior (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (R34DK085218)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
resilience, type 2 diabetes, diabetes self-management education, African American adults, diabetes knowledge, positive meaning, HDL cholesterol, fasting blood glucose, mental health, feasibility
MeSH terms
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Black or African American, Blood Glucose, Diabetes Mellitus, Type 2, Female, Humans, Cholesterol, HDL, Male, Middle Aged, Patient Education as Topic, Self Care, Resilience, Psychological

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