Barriers include lack of preventative health services, social problems and time pressure on staff. It was concluded that a diabetes self-management program provided by AHWs is acceptable, improves self-management and is seen to be useful by Aboriginal communities. AHWs found the process acceptable and appropriate for them and their patients. Mean HbA1c reduced from 8.74-8.09 and mean blood pressure was unchanged. Self-management scores improved in five of six domains. Problems improved by 12% and goals by 26%, while quality of life scores showed no significant change. Sixty Aboriginal people with type 2 diabetes stated their main problems as family and social dysfunction, access to services, nutrition and exercise. Impact and acceptability were also assessed by semi-structured interviews and focus groups of AHWs. Impacts were measured by patient-completed diabetes self-management assessment tool, goal achievement, quality of life and clinical measures at baseline and 12 months. Aboriginal health workers (AHWs) conducted patient-centred, self-management assessment and care planning. A community development approach was used to conduct a twelve-month demonstration project. A pilot program for Aboriginal people with diabetes on Eyre Peninsula, South Australia, aimed to test the acceptability and impact of using the Flinders model of self-management care planing to improve patient self-management.
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