A presente pesquisa de mestrado teve como objetivo analisar a prática da autogestão na perspectiva libertária e a influência do anarquismo através da análise conceitual da geografia. Para tanto, utilizamos como ponto de apoio para esta análise a Comunidade Autônoma Utopia e Luta, prédio situado no centro de Porto Alegre/RS que recebe este nome por ter sido fruto de uma ocupação no ano de 2005. A escolha por este objetivo se deu a partir da hipótese que territórios se constroem nas mais diversas escalas, em espaços e tempos diferentes, podendo trilhar caminhos de resistência efetiva às formas autoritárias de organização, sendo estas o Estado, os partidos políticos, organizações não governamentais e/ou qualquer forma hierárquica de organização. Para construir a pesquisa, foi necessário elaborar uma ampla revisão teórica do anarquismo, da autogestão e de suas variantes, expostos no primeiro capítulo. Posteriormente, optou-se por abordar a Comunidade Autônoma Utopia e Luta onde foram realizadas entrevistas com os moradores e trabalhos de campo . Seguindo a lógica da observação participante, a inserção de campo se pautou nas diversas atividades propostas pela própria Comunidade. Buscou-se nas entrevistas identificar a percepção dos moradores em relação ao prédio onde moram, assim como o sentimento de pertencimento e a consciência de habitar em uma moradia fruto de ocupação e que carrega consigo as insígnias da autonomia, da autogestão, da auto-organização e da reorganização urbana. No terceiro capítulo buscamos investigar através de uma ampla revisão bibliográfica algumas concepções de território, territorialidade, autonomia e poder. Concluímos que as concepções de território, territorialidade, autonomia e poder estão fortemente impressas na Comunidade Autônoma Utopia e Luta através de sua prática de autogestão. / This research aimed to evaluate the practice of self-management in the libertarian perspective and the influence of anarchism through the analysis of the conceptual geography. In this sense, we analyzed the Autonomous Community Utopia and Luta (Utopia and Struggle), located in the city center of Porto Alegre / RS, whose name comes from an occupation in 2005. The choice of this aim lies on the hypotheses of territories that are built on different scales of space and time. Thus, it is possible to trace paths of effective resistance to authoritarian forms of organization, (e.g. State, Political Parties, Nongovernmental organizations and / or any form of hierarchical organization). To conduct this research, it was necessary to elaborate an extensive review of theoretical anarchism, self-management and its variants, exposed in the first chapter. Later, the Autonomous Community Utopia e Luta was taken into account, where interviews were made with residents and field work developed. Following the logic of the participatory observation, our entrance in the analyzed group respected the activities the Community itself proposed. Through the Interviews, our effort was to identify the perception of the residents concerning the building where they live in, as well as, the feeling of belongingness and the awareness of living in an occupation, which carries the insignias of: autonomy, self-management, self-organization and urban reorganization. In the third chapter, we tried to investigate through an extensive literature review some notions of territory, territoriality, autonomy and power. We conclude that the concepts of territory, territoriality, autonomy and power are strongly embedded in the Autonomous Community Utopia e Luta through its practice of self-management.

Submitted by Renata Lopes (renatasil82@gmail.com) on 2016-05-19T17:53:30Z No. of bitstreams: 1 marianacostacarvalho.pdf: 795420 bytes, checksum: f2e0d1480cf5cbe8465149853a747753 (MD5) / Approved for entry into archive by Adriana Oliveira (adriana.oliveira@ufjf.edu.br) on 2016-07-01T19:24:38Z (GMT) No. of bitstreams: 1 marianacostacarvalho.pdf: 795420 bytes, checksum: f2e0d1480cf5cbe8465149853a747753 (MD5) / Made available in DSpace on 2016-07-01T19:24:38Z (GMT). No. of bitstreams: 1 marianacostacarvalho.pdf: 795420 bytes, checksum: f2e0d1480cf5cbe8465149853a747753 (MD5) Previous issue date: 2012-02-29 / FAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais / Alguns autores no âmbito do Serviço Social vinculados à tradição marxista realizam críticas à economia solidária enquanto possibilidade de superação do trabalho subordinado e de transformação social. Seguindo os fundamentos desta crítica, este estudo tem como intuito analisar os princípios que fundamentam a perspectiva de atuação político-pedagógica da Associação Nacional de Trabalhadores e Empresas de Autogestão – ANTEAG. O trabalho de assessoria da ANTEAG junto às empresas de autogestão oriundas de massa falida é analisado a partir de uma perspectiva histórica, apontando para as transformações políticas e econômicas vivenciadas no Brasil a partir da década de 1990, período importante da reestruturação produtiva em nosso país. Como consequência desse processo tem-se um elevado número de empresas em processo falimentar que passam a ser geridas pelos trabalhadores. Buscando apoio para o enfrentamento de um novo quadro os trabalhadores recorrem aos sindicatos. Sem condições de apoio imediato, cria-se a ANTEAG, entidade com o objetivo de assessorar os trabalhadores que se encontram em processo de recuperação de empresas em situação falimentar, bem como possibilitar a formação política dos trabalhadores autogestionários. Este estudo busca apresentar os princípios que fundamentam a ANTEAG, procurando destacar a tensão entre a construção de uma nova cultura para o trabalho e a emancipação dos trabalhadores nos limites da sociedade do capital. / Some authors within the Social Services linked to the marxist tradition to perform critical solidarity economy as a possibility for overcoming child labor and social transformation. Following the foundation of this critique, this study is meant to examine the principles underlying the perspective of political-pedagogical activity of the National Association of Employees and Self-Managed Companies - ANTEAG. The advisory work of ANTEAG self-management at the companies arising from the bankruptcy estate is analyzed from a historical perspective, pointing to the political and economic transformations experienced in Brazil since the 1990s, a period of major restructuring in our country. As a result of this process has a large number of companies in bankruptcy proceedings that are now managed by the workers. Seeking support for coping with a new framework workers turn to unions. No conditions of immediate support, it creates the ANTEAG, an entity with the goal of assisting workers who are in the process of recovery companies facing bankruptcy, as well as enable the political training of workers self-management. This study discusses the principles that underlie ANTEAG, seeking to highlight the tension between the construction of a new culture for work and emancipation of the workers within the limits of society's capital.

Den äldre befolkningen i Sverige ökar dramatiskt medans resurser minskar. Hjärtsvikt är en av Sveriges främsta folksjukdomar och en vanlig orsak till vårdkontakt och sjukhusvistelse för äldre personer. Symtom vid hjärtsvikt kan vara påfrestande och påverkar livskvalitén negativt för både patienter och närstående. Många äldre personer med hjärtsvikt bor kvar hemma och är i behov av stöd för att kunna hantera sin sjukdom och minska återinläggningar. Syftet med litteraturstudien är att beskriva distriktssköterskans strategier för att stärka egenvård hos patienter med hjärtsvikt i hemsjukvård. Metoden är en integrativ litteraturstudie där 19 artiklar av både kvalitativa och kvantitativa metoder ingår. Resultatet visar på fyra kategorier som tar upp strategier vilka distriktssköterskan kan tillämpa för att stärka egenvården hos patienter med hjärtsvikt; grundläggande förutsättningar för distriktssköterskan, vikten av att utgå från patientens situation och behov, att arbeta med mål och uppföljning samt erbjuda utbildning och kunskap. De grundläggande förutsättningarna handlar främst om distriktsköterskans specialistutbildning och att erfarenhet har stor betydelse i arbetet med egenvård. Andra strategier som framkommer är att se varje individ, arbeta med delaktighet, involvera anhöriga och individanpassa utbildning samt följa upp. Det finns ingen generell strategi att stärka egenvården som fungerar på alla. Distriktssköterskans kompetens är nödvändig i arbetet med att ge individuellt stöd som stärker egenvård. / The older population in Sweden increases dramatically while resources are decreasing. Heart failure is one of the most common diseases in Sweden which causes hospitalization for elderly people. Symptoms of heart failure can be stressful and affect the quality of life negatively for both patients and close relatives. A lot of old people with heart failure lives at home and need support to cope with their illness and reduce hospitalization. The aim of the literature study is to describe district nurses' strategies to strengthen self-care in patients with heart failure in home care. The method is an integrative literature study where 19 articles of both qualitative and quantitative methods are included. The results show four categories that address strategies district nurses can apply to strengthen self-care in patients with heart failure. These are essential conditions for district nurse, the importance of starting from the patient's situation and needs, to work with goals and follow-up as well as offer education and knowledge. The essential conditions are mainly that higher education and experience are of great importance in the work of self-care. Other strategies emerging is to see each individual person as unique, work with participation, involve relatives and individualized education as well as follow up. There is no general strategy to strengthen self-care that works for all. District Nurse skills are necessary in the work of providing individual support that strengthens selfcare.

Depuis la fin des années 90, poussés par la crise et l’effondrement de l’économie nationale (19 et 20 décembre 2001), des milliers de travailleurs argentins se sont mis à occuper puis à récupérer leur entreprise. Après une lutte souvent ardue, l’extrême majorité de ces récupérations s’est constituée en coopérative de travail. Loin d’être une nouveauté, les coopératives en question ont toutefois une forte particularité : la population qui les compose témoigne d’une différence considérable avec les expériences connues par le passé, puisque elle se caractérise souvent par des salariés zélés et proches du patron. De fait, la mise en place des coopératives se fait tardivement ; on peut même dire qu’elle s’impose à ces salariés, qui n’ont qu’un seul véritable souhait : sauver leur emploi. Dans ce contexte, il est alors intéressant de se pencher autant sur les origines de cette mobilisation que sur l’autogestion qui s’instaure au lendemain de la récupération de l’entreprise : Quelles sont les raisons qui poussent ces ouvriers modèles à se révolter contre leur employeur ? Comment mènent-ils leur lutte ? Enfin, comment ces salariés, hier proches du patron et de ses politiques d’entreprise, vont-ils s’organiser, coopérer et mettre à profit leur coopérative ? Quelles difficultés vont-ils rencontrer ? A partir d’un travail de terrain de dix-huit mois mêlant entretiens et observations, notamment participante, au sein des usines Brukman et la Nueva Esperanza (l’une textile, l’autre de ballons de baudruche), cette thèse invite à repenser la place du travail ainsi que les cultures ouvrières que ce dernier produit, à partir de la proposition théorique « des appropriations du travail ». / Since the 1990s in Argentina, both the crisis and the collapse of the national economy (December 19th and 20th 2001) led thousands of workers to take over their company and turn it into their own. Though the strife was tough at times, most takes did become work cooperatives. The striking point about these specific upturns resides in the composition of their members: they highly differ from well-known past experiments of the kind for the new associates were zealously and closely linked to their employer. Indeed, the creation of the cooperatives was often delayed. We may even add that these employees had no other choice in order to reach their only goal which was to keep their work at all cost. In this light, it is of paramount interest to focus on the origins of the mobilization; the way they organized themselves is mainly relevant: on the one hand, what were the reasons that motivated model employees to turn against their employer? On the other hand, how did they struggle? Meanwhile they agreed with their former administration's politics, we may wonder how they eventually managed to gather their strengths and cooperate to make the best of their cooperative? What were the issues they had to overcome? Based on an eighteen months-long field work combining interviews as well as times of both neutral and participant observation in the heart of two industries, Brukman (clothing business) and La Nueva Esperanza (helium balloons), this thesis aims at questioning the status of work and its derived blue-collar cultures through the theoretical stance labeled “the appropriations of work”.

The thesis deals with self-management of head teachers and its application in the present which is characterized by an environment of never-ending changes which place considerable demands on the overall preparedness of school management to face these demands. This theses has been completed using search of available literature and free Internet resources related to this issue. The theoretical part explains the basic concepts related to the topic. The personality and skills of managers are also described there. Based on the analysis and comparison of scientific literature I describe the techniques and procedures recommended by the authors who deal with this issue. With the help of a survey in the form of half-structured interviews with managers of education in different types of schools in a district town I try to find out what self-management techniques covering the biological, psychological and social areas are practised by head teachers in order to maintain and develop relevant skills. In conclusion, based on the acquired data I suggest a process of self-management of head teachers. Recommended methods and procedures can be used as a strategic tool for maintaining and developing their competencies necessary to carry out their profession in a quality way. KEYWORDS school director, self-management,...

The thesis that this dissertation aims to defend is: Certain self-management behaviours in End Stage Renal Disease are predicted by self-efficacy, patient activation, and psychological distress, and in turn predict clinical status. However, self-management is often oversimplified and poorly operationalised, in both the literature and in clinical practice, to adherence and 'good/bad' distinctions that may impede future investigations and interventions. End Stage Renal Disease (ESRD) is a chronic condition associated with significant morbidity and increased risk of death. It is commonly treated with haemodialysis, a life sustaining treatment that last approximately four hours, repeated in a healthcare centre or at home, at least three times a week. ESRD also necessitates adherence to a complex set of dietary and fluid intake guidelines, in addition to a complex medication regimen, if the person is to avoid a further increase in the risk of severe symptoms and death. Chronic illness self-management is more than just adherence to prescribed medical treatments however, and requires an individual to preserve their emotional wellbeing, maintain social support networks, and continue to function in a variety of social roles and situations. While this has long been recognised in the theoretical literature about self-management, these concepts are often not well translated into clinical practice or empirical investigations of self-management behaviour in ESRD. When operationalising self-management, some investigations treat the 'behaviour' element of self-management as being limited to dialysis, medication, and fluid adherence, or are ignored in favour of psychological correlates such as self-efficacy. A frequent criticism of the self-management literature is that self-efficacy is often treated as an outcome, rather than a psychological component of changes in behaviour, wellbeing, or clinical outcomes. The investigations presented in this dissertation seek to investigate self-management in terms of specific behaviours that go beyond adherence. In doing so, they explore two different types of self-management behaviour, here termed 'cooperative' and 'defensive' self-management. These behaviours can then be examined in relation to adherence and self-efficacy, as well as other theoretically related factors including patient activation, psychological distress, and illness perceptions. The first three chapters set out the background to the empirical investigations reported in this dissertation. Chapter one covers the background on ESRD and its treatment. Chapter two describes the current state of the conceptual and empirical literature concerning self-management. Chapter three combines a narrative review of empirical investigations into self-management in ESRD, and a review of publically available resources concerning self-management in ESRD. Chapter four describes the methods used in the following empirical chapters. Chapters five, six, seven and eight report original empirical investigations on self-management in ESRD. Chapter nine is a discussion of the combined findings, and their implications in the wider clinical and academic context. Chapter 5 presents the results of a series of focus groups conducted with people on in-centre haemodialysis for ESRD, and the healthcare professionals involved in their care. These explored what each group understood by 'self-management', the behaviours and tasks that were important, and the practical, social, and emotional facilitators and barriers. A series of interviews conducted with patients eighteen months later revisited these concepts, focusing on motivations for engaging in self-management behaviours. The combined findings revealed that patient and HCP concepts around self-management overlap, but have a different focus, with HCPs seeing self-management as being about adherence, and patients seeing it as a complex balancing act to maintain their health, emotional wellbeing, and social roles. HCPs identified some patients as 'good' and others as 'bad'. Chapter 6 presents the results of a cross-sectional investigation of self-management behaviour and theoretically related psychological factors, including self-efficacy and psychological distress. Self-management was operationalised using an available scale that covered a variety of the behaviours patients and HCPs identified as important in chapter 5, which included both 'cooperative' and 'defensive' subscales. Self-efficacy, patient activation, and psychological distress were related to 'defensive' behaviours, with higher levels of psychological distress being related to the performance of more defensive behaviours. Higher self-efficacy was related to less frequent performance of defensive behaviours. A novel finding was that psychological distress mediated the relationship between self-efficacy and self-management behaviours. The implication that some proactive self-management behaviours may be associated with poorer emotional wellbeing is discussed. Chapter 7 presents the results of an 18 month longitudinal study of self-management behaviour and clinical markers of adherence. It also reports a survival analysis in the same cohort followed up to 30 months. Higher frequency of cooperative self-management behaviours were associated with lower levels of adherence as indicated by clinical markers. This may be due to the dialysis units in which the study took place, and may in fact reflect how self-management support was conducted in the units at the time of the study. Higher self-efficacy was found to be associated with lower mortality over 30 months after controlling for factors such as age and residual kidney function, an original and potentially important finding. The findings in chapters 6 and 7 raised additional questions about how self-management behaviours are measured and what those measurements indicate. To further investigate, and lay the groundwork for a new scale and general guidelines on the operationalisation of self-management in ESRD, a series of cognitive interviews were conducted. These are reported in chapter 8. They were conducted with people on home haemodialysis, a population whose engagement in a whole range of self-management behaviours is likely to be high. The role of social and emotional factors in the scale and behaviours discussed was also explored. The chapter concludes with a series of suggestions for measuring self-management behaviour in ESRD. This dissertation will explore the concept of self-management for people on haemodialysis, the behaviours involved, and their relationship with psychosocial and clinical status.

Background: Our study investigates the phenomenon of self-organization since many companies choose to work in smaller teams and project groups to respond proactively to change. Problems that may arise with a greater delegation of responsibility in organizations is insufficient goal congruence throughout the different organizational levels. Management control is the solution to problems with goal congruence but its meaning is often translated into the monitoring and supervision of employees. This creates negative associations to the influence that management control has over work performances in self-organizing teams. Organizations are therefore forced to balance their exercise of control between a tougher and more free form of governance to reach goal congruence in all organizational levels. Self- organization thus places high demands on management when control is to be transparent to employees and at the same time congruent with the self-organization that is conducted throughout the organization. Purpose: To create an in-depth understanding of the prerequisites and control mechanisms of self-organization. Completion: The study adopts a qualitative method in which data was collected from SMHI's IT department. During four weeks, material was collected from four interviews with representatives from three different organizational levels. Conclusion: The study results in the coexistence of though and free control through transparent control mechanisms to ensure goal congruence in self-organized work. The results proves how the client's involvement in teamwork and the group's priorities are driven by cultural and self-managing mechanisms. Furthermore, the cybernetic process with interactive features is described as a tough control that generates increased autonomy in self-organizing teams. To achieve well-functioning self-organizing teams the prerequisites instigate knowledge sharing, communication and flexibility in the work process. The control mechanisms and the prerequisites of the team contribute to the perceived autonomy amongst the team members to influence their work, which is the most important factor for the control to appear invisible. The parallel work of prerequisites and control mechanisms creates effective and well-functioning teams working towards congruence with the organization's goals. In organizations that require flexibility and efficiency through team-based work, these dimensions are tools used by management to control teams with transparency / Bakgrund: Vår studie undersöker fenomenet självorganisering då fler organisationer väljer att arbeta i mindre arbetslag, projektgrupper eller team för att bemöta förändring på ett proaktivt sätt. Risker med en större ansvarsdelegering i organisationer är de problem som kan uppstå med målkongruens. Styrning är lösningen på problem med målkongruens men översätts ofta till kontroll och övervakning. Detta skapar negativa associationer till styrningens påverkan på utfört arbete. Organisationerna behöver därmed balansera sin utövning av kontroll mellan en hårdare och friare form av styrning för att styra medarbetarna mot målkongruens. Självorganisering ställer därmed höga krav på ledningen när styrningen ska vara transparent för medarbetarna och samtidigt kongruent med den självorganisering som bedrivs. Styrningsmekanismer krävs för att kunna säkerställa självorganiseringens effektivitet med hjälp av cybernetiska processer, interaktiv styrning, självstyrning samt kultur. Förutsättningarna för välfungerande arbete i självorganiserade team ligger istället på processernas flexibla natur, kommunikation och kunskapsdelning. Syfte: Att skapa en fördjupad förståelse för självorganiseringens förutsättningar och styrningsmekanismer. Genomförande: Fallstudien antar en kvalitativ metod där data insamlats från SMHI:s IT-avdelning. Under fyra veckor samlades material in från fyra intervjuer på SMHI:s IT-avdelning med representanter från tre olika organisatoriska nivåer. Slutsats: Studien resulterar i att balansen mellan hård och fri styrning sker genom transparenta styrningsmekanismer för att säkerställa ett målkongruent självorganiserat arbete. I empirin finns underlag för hur kundens involvering i teamets arbete samt gruppens prioriteringar drivs av kulturella- och självstyrningsmekanismer. Vidare beskrivs den cybernetiska processen med interaktiva inslag som en hård styrning som trots detta genererar utökad autonomi i självorganisarande team. Förutsättningarna i teamet skapar istället en välfungerande självorganisering när kunskapsdelning, kommunikation och flexibilitet i arbetsprocessen uppnås. Både styrningsmekanismerna och förutsättningarna i teamet bidrar till en hög grad av upplevd autonomi att påverka sitt arbete vilket är den viktigaste faktorn för att styrningen ska förefalla osynlig. Förutsättningar och styrningsmekanismer arbetar på detta sätt parallellt för att skapa effektiva och välfungerande team som arbetar mot kongruens med organisationens mål. I organisationer med krav på flexibilitet och effektivitet genom teambaserat arbete kan dessa dimensioner vara verktyg för ledningen att styra team med transparens.

Heart failure (HF) is a serious, life limiting chronic illness and is the most common cause of <30-day hospital readmission, which is costly both in its profound negative impact on patient mortality and quality of life, and in economics. Limited access to care in rural communities increases the prevalence of hospitalizations for heart disease in rural areas. The aims of this project using data mined from Arizona Health Sciences Center Clinical Research Data Warehouse, are to define clinical events (fever, pain, changes in respiratory status, change in level of consciousness, changes in output, bleeding, and suicide ideation) for patients with heart failure, and determine what assessment values are for chronically ill patients and compare to "normal" assessment values for non-chronically ill patients. A literature review was completed to determine how to define clinical events for chronically ill patients with HF, and how decision making is used at home to manage chronic illness. Assessment value data was mined from the clinical research data warehouse and compared to “normal” assessment values, with identification of associations between clinical events and action taken in the hospital. The project results support that there are differences in "normal" assessment values for fever, pain, and change in respiratory status between chronically ill patients with HF, and non-chronically ill patients; there was insufficient data to define bleeding, change in output, or suicide ideation. Impacts to care include earlier recognition of worsening HF symptoms that could result in an earlier call or visit to primary care provider forestalling the need for emergent care and hospital readmission. Application of the mined clinical may inform development of evidenced-based algorithm to guide decision-making at home, and it may also provide the foundation for the development of a tool for patient use to prevent <30-day hospital readmission.

Chronic disease affects 80% of adults over the age of 65 and is expected to increase in prevalence. To address the burden of chronic disease, self-management programs have been developed to increase self-efficacy and improve quality of life by reducing or halting disease symptoms. Two programs that have been developed to address chronic disease are the Chronic Disease Self-Management Program (CDSMP) and Tomando Control de su Salud (TCDS). CDSMP and TCDS both focus on improving participant self-efficacy, but use different curricula, as TCDS is culturally tailored for the Hispanic population. Few studies have evaluated the effectiveness of CDSMP and TCDS when translated to community settings. In addition, little is known about the correlation between demographic, baseline health status, and psychosocial factors and completion of either CDSMP or TCDS. This study used secondary data collected by agencies of the Healthy Aging Regional Collaborative from 10/01/2008 - 12/31/2010. The aims of this study were to examine six week differences in self-efficacy, time spent performing physical activity, and social/role activity limitations, and to identify correlates of program completion using baseline demographic and psychosocial factors. To examine if differences existed a general linear model was used. Additionally, logistic regression was used to examine correlates of program completion. Study findings show that all measures showed improvement at week six. For CDSMP, self-efficacy to manage disease (p = .001), self-efficacy to manage emotions (p = .026), social/role activities limitations (p = .001), and time spent walking (p = .008) were statistically significant. For TCDS, self-efficacy to manage disease (p = .006), social/role activities limitations (p = .001), and time spent walking (p = .016) and performing other aerobic activity (p = .005) were significant. For CDSMP, no correlates predicting program completion were found to be significant. For TCDS, participants who were male (OR=2.3, 95%CI: 1.15-4.66), from Broward County (OR=2.3, 95%CI: 1.27-4.25), or living alone (OR=2.0, 95%CI: 1.29-3.08) were more likely to complete the program. CDSMP and TCDS, when implemented through a collaborative effort, can result in improvements for participants. Effective chronic disease management can improve health, quality of life, and reduce health care expenditures among older adults.

Diabetes self-management, an essential component of diabetes care, includes weight control practices and requires guidance from providers. Minorities are likely to have less access to quality health care than White non-Hispanics (WNH) (American College of Physicians-American Society of Internal Medicine, 2000). Medical advice received and understood may differ by race/ethnicity as a consequence of the patient-provider communication process; and, may affect diabetes self-management. This study examined the relationships among participants’ report of: 1) medical advice given; 2) diabetes self-management, and; 3) health outcomes for Mexican-Americans (MA) and Black non-Hispanics (BNH) as compared to WNH (reference group) using data available through the National Health and Nutrition Examination Survey (NHANES) for the years 2007-2008. This study was a secondary, single point analysis. Approximately 30 datasets were merged; and, the quality and integrity was assured by analysis of frequency, range and quartiles. The subjects were extracted based on the following inclusion criteria: belonging to either the MA, BNH or WNH categories; 21 years or older; responded yes to being diagnosed with diabetes. A final sample size of 654 adults [MA (131); BNH (223); WNH (300)] was used for the analyses.The findings revealed significant statistical differences in medical advice reported given. BNH [OR = 1.83 (1.16, 2.88), p = 0.013] were more likely than WNH to report being told to reduce fat or calories. Similarly, BNH [OR = 2.84 (1.45, 5.59), p = 0.005] were more likely than WNH to report that they were told to increase their physical activity. Mexican-Americans were less likely to self-monitor their blood glucose than WNH [OR = 2.70 (1.66, 4.38), pThese findings indicate a need for patient-provider communication and care to be assessed for effectiveness and, the importance of ongoing diabetes education for persons with diabetes.