Effect of a group adherence intervention for elderly Mexican-Americans with type two diabetes: A pretest-posttest design,

Emily P. Haltiwanger, University of Texas at El Paso


Objectives. To evaluate the effect of a culturally tailored peer-led support group on improvement on adherence behaviors of Mexican-American elders with type two diabetes mellitus; to obtain feedback on the cultural relevance of the manual that structured intervention. Method. The one group pretest-posttest design of 4 males and 12 females, ages 60-85 used 5 self-reported questionnaires and blood testing to measure change. Results. Empowerment, self-efficacy, and attitude were highly significant at posttests 1, 2, 3. Glycosylated hemoglobin test results were significant at p<0.05 levels between pretest and posttest 2 with a stabilizing effect at posttest 3 (6 months). Conclusion. Adherence of Mexican-American elders may improve using a culturally-sensitive structured peer-led program, with indirect consultation from an occupational therapist.