Article Review: Relationship between Diabetes Self-management Education and Self-care Behaviors among African American Women with Type 2 Diabetes

Relationship between Diabetes Self-management Education and Self-care Behaviors among African American Women with Type 2 Diabetes

Gumbs, J. M. (2012). Relationship between Diabetes Self-management Education and Self-care Behaviors among African American Women with Type 2 Diabetes. Journal of cultural diversity19(1), 18-22.

            In this research, the key variables were the self-care behaviors and whether participants had received DSME. In measuring self-care behaviors, Gumbs (2012) used multiple measures to show whether the participant practiced self-care behaviors. They include investigations into the frequency of self and hospital check-ups for glycosolated hemoglobin (HbAlC), foot ailments, eye check-ups, and engagement in physical exercise.

The reliability of the measures is based on clinical outcomes. According to Gumbs (2012), the efficiency in management of Type 2 diabetes in patients is dependent on ability to monitor HbAlC for glycemic control. In addition, foot ailments are common among diabetic patients, and how well they are managed is a good indicator of proper self-care. Finally, physical exercise is important for weight control because high body mass index and obesity make glycemic control difficult.

The research was quantitative, and the validity of the measures used has been justified. The data relied on was from a BRFSS national survey, with questions formulated by CDC experts. According to Gumbs (2012), the survey questions had been tailor-made for diabetic self-management behaviors. In addition, BRFSS survey has been extensively used by many countries and used in policymaking.

The interview protocol in the BRFSS survey has been presented in the report with all the questions posed. There is a set of demographic survey questions that include questions on race, age, education, employment status, income, and time of diagnosis with the disease. The other set of questions are diabetic-related measures, which measure the degree of self-care behaviors among participants.

The researcher explicitly mentions the strengths and weakness of the research. Firstly, Gumbs (2012) says that the methodology used in collecting the data was valid because it was a national survey, and used a tool questions prepared by experts. However, the researcher is critical of self-reported behaviors and the weakness of telephone interviews. Gumbs (2012) says that the use of telephone could have excluded some diabetic patients due to lack of telephones. In addition, there was a possibility of misunderstanding during the telephone interview.

Causality is implied in the research question where it states, “To what extent does participation in DSME predict diabetes self-care behaviors among African American Women with type 2 diabetes?” Therefore, the research is good for exploring the impact of DSME on self-care behaviors.

 The report indicates a good research that is reliable, and uses valid secondary data. However, the use of cross-sectional design in studying behavior is not suitable due to the changes of people’s circumstances. A longitudinal study and reliance on primary data would make the research more original. It looks more like an analysis of collected data, with a focus on a particular group of participants.

References

 Gumbs, J. M. (2012). Relationship between Diabetes Self-management Education and Self-care Behaviors among African American Women with Type 2 Diabetes. Journal of cultural diversity19(1), 18-22.