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

Gina M. McCaskill, Kathleen A. Bolland, Kathryn L. Burgio, James Leeper

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


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.

Original languageEnglish
Pages (from-to)381-394
Number of pages14
JournalSocial Work in Health Care
Issue number5
StatePublished - May 27 2016


  • Diabetes self-management
  • instrument validation
  • older African-Americans


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