Alliance to Reduce Disparities in Diabetes

Chicago Team at the 2014 AADE Annual Meeting

Enhancing Shared Decision-Making Among African-Americans with Diabetes [Master Class Session]

American Association of Diabetes Educators 2014 Annual Meeting
August 6-9, 2014
Orlando, FL 

Monica Peek, MD, MPH

About the Session
The presentation will discuss shared decision-making, barriers/facilitators to SDM among African-Americans with diabetes, and discuss skills building in SDM among this population. As part of a larger intervention, our team developed the Diabetes Empowerment Program, a 10-week program that combined culturally-tailored diabetes education with skills training in patient/provider communication and shared decision-making. The SDM classes focused on building patients’ skills and confidence in asking more questions, giving more information, clarifying/restating what the doctor says, and communicating health care preferences. We created interactive games and a video about SDM which will be viewed and discussed as part of the presentation. Patients’ self-confidence about diabetes care significantly improved after program participation in decision-making empowerment and diabetes self-efficacy.  Patients perceived themselves to be more involved in their care, and reported more frequent exercising, blood sugar monitoring, and foot examinations. There was a significant decrease in weight and HbA1c from baseline, which was sustained at the 6-month follow-up. Our findings suggest that combining culturally-tailored diabetes education with skills training in shared decision-making can be an effective strategy to improve self-confidence and behaviors in self-management and shared decision-making, and also improve diabetes-related health outcomes.

The purpose of this activity is to enable the learner to identify strategies to help patients engage in shared decision-making. Diabetes educators will have increased knowledge about SDM, particularly among African-Americans with diabetes.