Growing Up: A 50-Year Journey From Compliance to Collaboration

Funnell, Martha M.

doi:10.1177/26350106231169695

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The empowerment philosophy provided the foundation for both the DSME and DSMS intervention strategies and the peer leader training program ( Funnell et al, 2005 , 2007 ). When using this philosophy, participants reflect on their self-management practices, discuss the emotional aspects of living with diabetes, and play an active role in structured, person-centered processes for establishing goals and resolving issues ( Funnell, 2023 ; Funnell et al, 2005 ). Educational strategies include self-discovery and problem-based learning, self-determined goal setting, shared decision-making, creating equal partnerships, and using person-centered communication and nonstigmatizing language ( Funnell, 2023 ; Kloss et al, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

The Michigan Men’s Diabetes Project Randomized Clinical Control Trial: A Pilot/Feasibility Study of a Peer-Led Diabetes Self-Management and Support Intervention for Black Men With Type 2 Diabetes

Ewen,

Hawkins,

Kloss

et al. 2024

Am J Mens Health

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Black men are disproportionately affected by type 2 diabetes (T2D) and experience higher diabetes-related complications than non-Hispanic White men. To address the complex barriers in diabetes self-management for Black men, we implemented a 3-month peer-led and empowerment-based Diabetes Self-Management Education (DSME) and Support (DSMS) intervention in Metro Detroit. Twenty-five Black men ≥55 years of age with self-reported T2D were randomized to the intervention group ( n=12)—10 hr of DSME and 9 hr of DSMS—or enhanced usual care (EUC) group ( n=13)—10 hr of DSME. Peer leaders ( n = 3) were trained by certified diabetes care and education specialists (CDCESs) to cofacilitate the support sessions. Outcomes (hemoglobin A1c [HbA1c], diabetes self-care activities, and diabetes distress) were assessed preintervention and postintervention. In the intervention and EUC groups, mean HbA1c decreased by 0.20% ( p = .52, SD = 0.99) and 0.13% ( p = .68), respectively. General diet ( p = .03, M change: 1.32, SD = 1.71) and blood glucose monitoring ( p < .05, M change: 0.50, SD = 0.74) scores improved among those in the intervention group. General diet scores also improved in the EUC group: mean change: 1.77, p = .08, although changes were not statistically significant. Changes in diabetes distress scores differed based on the number of sessions attended, with a significant decrease in those attending 7 to 12 sessions ( n = 7), >50%, ( p = .003, M change: −5.71, SD = 3.20). Implementing a peer-led DSMS program for Black men was feasible, adopted, and led to positive changes in outcomes. Scaling up the intervention and assessing sustainability is warranted.

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