PMID- 28494697
OWN - NLM
STAT- MEDLINE
DCOM- 20180501
LR  - 20180513
IS  - 1554-6063 (Electronic)
IS  - 0145-7217 (Linking)
VI  - 43
IP  - 4
DP  - 2017 Aug
TI  - Talking Circles to Improve Diabetes Self-care Management.
PG  - 388-395
LID - 10.1177/0145721717706765 [doi]
AB  - Purpose The purpose of this study was to determine if the use of both the Talking 
      Circles (TCs) and diabetes self-management education (DSME) results in better 
      adherence and outcomes for diabetes self-management than DSME alone in American 
      Indians (AIs) with type 2 diabetes mellitus (T2DM). Methods A quasiexperimental, 
      mixed-methods approach was used for AIs with uncontrolled T2DM, defined by an A1C 
      > 7.0%. The experimental group (n = 20) participated in a TC and received DSME. 
      The control group (n = 19) received only DSME. Talking Circles were audio-taped 
      and analyzed qualitatively. Quantitative data were analyzed using the generalized 
      estimating equation and Fisher exact test for all study participants every 3 
      months for 1 year. Results Themes identified by TC participants were 
      spirituality, gratitude, and sharing. Major topics of discussion were the 
      experiences of living with T2DM, including challenges and coping. Evidence of 
      positive trends for the experimental group who received the TC intervention 
      included lower systolic blood pressure, lower A1C, lower weight over time, and 
      increased adherence without incentives. Conclusion Talking Circles may have 
      utility in improving adherence in AI adults with uncontrolled T2DM. Further 
      studies are warranted, including extending the use of the TCs after completion of 
      DSME sessions.
FAU - Wilken, Marlene
AU  - Wilken M
AD  - Creighton University, MPH Program, Omaha, Nebraska (Prof Wilken).
FAU - Nunn, Martha
AU  - Nunn M
AD  - Creighton University School of Dentistry, Omaha, Nebraska (Dr Nunn).
LA  - eng
GR  - R34 DK089473/DK/NIDDK NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20170511
PL  - United States
TA  - Diabetes Educ
JT  - The Diabetes educator
JID - 7701401
MH  - Adult
MH  - Diabetes Mellitus, Type 2/psychology/*therapy
MH  - Female
MH  - Humans
MH  - Indians, North American/*psychology
MH  - Male
MH  - Non-Randomized Controlled Trials as Topic
MH  - Patient Compliance/*psychology
MH  - Patient Education as Topic/*methods
MH  - Qualitative Research
MH  - Self Care/methods/*psychology
MH  - Self-Help Groups
EDAT- 2017/05/13 06:00
MHDA- 2018/05/02 06:00
CRDT- 2017/05/13 06:00
PHST- 2017/05/13 06:00 [pubmed]
PHST- 2018/05/02 06:00 [medline]
PHST- 2017/05/13 06:00 [entrez]
AID - 10.1177/0145721717706765 [doi]
PST - ppublish
SO  - Diabetes Educ. 2017 Aug;43(4):388-395. doi: 10.1177/0145721717706765. Epub 2017 
      May 11.