• symptoms;
  • African American;
  • diabetes mellitus;
  • non-insulin-dependent

Purpose: Development of a conceptual model and description of its use to guide the content and format of a community-based intervention.

Conceptual Model: We developed a symptom-focused model for type 2 diabetes for older African American women based on the UCSF symptom management model. Key concepts in this model are symptom experience, symptom management, and health outcomes.

Methods: Review of literature, intervention protocol.

Conclusions: The symptom-focused conceptual model is an innovative approach to tailoring care to a distinct population and to engaging participants in their own self-care.

Clinical Relevance: Diabetes is a major cause of morbidity and mortality in African Americans; and diabetes self-management is the cornerstone of care. To better meet the distinct needs of diverse populations and positively affect health outcomes, new tailored approaches should be developed that are culturally sensitive and acceptable.