Development and validation of a diabetes self-management instrument for older African-Americans

Academic Article


  • The objective of this study was to develop and validate a new diabetes self-management instrument for older African-Americans 65 years of age and older. The Self-Care Utility Geriatric African-American Rating (SUGAAR) was developed using the American Diabetes Association’s standards for the management of type 2 diabetes in older adults and cognitive interviews with older African-Americans. The instrument underwent extensive review by a panel of experts, two rounds of cognitive interviews, and a pilot test before it was administered in an interview format to 125 community-dwelling older African-Americans. The instrument demonstrated content validity and significant, but modest, convergent validity with items from an established diabetes self-management instrument. Social workers and health care professionals can use the SUGARR to assess diabetes self-management and to identify areas for education and support for older African-Americans with type 2 diabetes.
  • Digital Object Identifier (doi)

    Author List

  • McCaskill GM; Bolland KA; Burgio KL; Leeper J
  • Start Page

  • 381
  • End Page

  • 394
  • Volume

  • 55
  • Issue

  • 5