Combined Diabetes Prevention and Disease Self-Management Intervention for Nicaraguan Ethnic Minorities: A Pilot Study

Lew, Kelley Newlin; Mclean, Yolanda; Byers, Sylvia; Taylor, Helen; Braizat, Omar Musa Suleiman

doi:10.1353/cpr.2017.0043

Cited by 4 publications

(8 citation statements)

References 27 publications

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“…Integrating social determinants of health into diabetes care demonstrated objective improvements in patient knowledge and cardiometabolic parameters [233]. Enhancing medical continuing education [234], an intervention combining diabetes prevention and self-management [235], co-creating interventions with community stakeholders and other countries [141,144] are other examples of alternatives to improve diabetes care throughout the region. Another major regional example of efforts to implement better care for patients with diabetes has been led by the Latin American Diabetes Association (ALAD in Spanish) to engage 17 medical associations and wrote a consensus statement on the treatment of type 2 diabetes in LatAm [207].…”

Section: Innovative Solutions: Emerging Research and Alternative Modementioning

confidence: 99%

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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Purpose of Review Latin America is the scenario of great inequalities where about 32 million human beings live with diabetes. Through this review, we aimed at describing the current state of the prevalence, awareness, treatment, and control of diabetes mellitus and completion of selected guidelines of care across Latin America and identify opportunities to advance research that promotes better health outcomes. Recent Findings The prevalence of diabetes mellitus has been consistently increasing across the region, with some variation: higher prevalence in Mexico, Haiti, and Puerto Rico and lower in Colombia, Ecuador, Dominican Republic, Peru, and Uruguay. Prevalence assessment methods vary, and potentially underestimating the real number of persons with diabetes. Diabetes unawareness varies widely, with up to 50% of persons with diabetes who do not know they may have the disease. Glycemic, blood pressure, and LDL-C control and completion of guidelines to prevent microvascular complications are not consistently assessed across studies, and the achievement of control goals is suboptimal. On the other hand, multiple interventions, point-of-care/rapid assessment tools, and alternative models of health care delivery have been proposed and tested throughout Latin America. Summary The prevalence of diabetes mellitus continues to rise across Latin America, and the number of those with the disease may be underestimated. However, some local governments are embedding more comprehensive diabetes assessments in their local national surveys. Clinicians and public health advocates in the region have proposed and initiated various multi-level interventions to address this enormous challenge in the region. Keywords Latin America. Diabetes prevalence. Diabetes treatment. Control. Diabetes complications. Interventions. Health care This article is part of the Topical Collection on Diabetes Epidemiology

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Section: Innovative Solutions: Emerging Research and Alternative Modementioning

confidence: 99%

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

et al. 2020

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“…Studies were conducted from 2012 to 2017 (12/13) in the USA (5/13), Europe (2/13), multiple countries (2/13), Canada, Australia, Middle East, and Latin America [100][101][102][103][104][105][106][107][108][109][110][111][112]. Target populations pertained to immigrants (mostly women of various descents), refugees, migrants, and ethnic minorities, some of which were further defined as diabetic.…”

Section: Noncommunicable Diseasesmentioning

confidence: 99%

“…Community-based strategies for the management of the following were discussed: cancer screening [100][101][102][103][104], diabetes mellitus [99,[105][106][107][108], cardiovascular disease prevention [109,110], and other chronic diseases [111,112]. Cancer-mostly breast cancer-prevention tools involved culturally tailored, narrative educational videos [100], pictograph-enhanced instructions [102], and patient-centered strategies [103,104].…”

Section: Noncommunicable Diseasesmentioning

confidence: 99%

“…Cancer-mostly breast cancer-prevention tools involved culturally tailored, narrative educational videos [100], pictograph-enhanced instructions [102], and patient-centered strategies [103,104]. The latter was also applied in diabetes mellitus management [106]. Diabetes mellitus and cardiovascular disease prevention interventions were culturally tailored approaches and story-telling [98,[103][104][105][107][108][109].…”

Section: Noncommunicable Diseasesmentioning

confidence: 99%

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Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

et al. 2020

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Background: Strengthening community-based healthcare is a valuable strategy to reduce health inequalities and improve the integration of migrants and refugees into local communities in the European Union. However, little is known about how to effectively develop and run community-based healthcare models for migrants and refugees. Aiming at identifying the most-promising best practices, we performed a scoping review of the international academic literature into effective community-based healthcare models and interventions for migrants and refugees as part of the Mig-HealthCare project. Methods: A systematic search in PubMed, EMBASE, and Scopus databases was conducted in March 2018 following the PRISMA methodology. Data extraction from eligible publications included information on general study characteristics, a brief description of the intervention/model, and reported outcomes in terms of effectiveness and challenges. Subsequently, we critically assessed the available evidence per type of healthcare service according to specific criteria to establish a shortlist of the most promising best practices. Results: In total, 118 academic publications were critically reviewed and categorized in the thematic areas of mental health (n = 53), general health services (n = 36), noncommunicable diseases (n = 13), primary healthcare (n = 9), and women’s maternal and child health (n = 7). Conclusion: A set of 15 of the most-promising best practices and tools in community-based healthcare for migrants and refugees were identified that include several intervention approaches per thematic category. The elements of good communication, the linguistic barriers and the cultural differences, played crucial roles in the effective application of the interventions. The close collaboration of the various stakeholders, the local communities, the migrant/refugee communities, and the partnerships is a key element in the successful implementation of primary healthcare provision.

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“…The 34 selected articles involved 34 separate studies, with a total of 369 930 participants, undertaken across 15 countries from five continents. Five of the 34 studies focused on rural and remote populations and/or localities (Jessee & Rutledge, 2012; Lew et al, 2017; McDermott et al, 2015; McIlhenny et al, 2011; Price et al, 2011), and nine studies involved non‐randomized controlled designs (Jessee & Rutledge, 2012; Juul et al, 2012; Lew et al, 2017; Melaku‐Abbera & Smith, 2017; Mills, 2014; Murrells et al, 2015; Parker et al, 2016; Price et al, 2011). Of the 34 studies, two included diabetes of both Types 1 and 2 (Mills, 2014; Murrells et al, 2015), with the other 32 studies exclusively considering Type 2 diabetes.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of the effectiveness of nurse‐led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes

Holloway

James

Ekinci

et al. 2023

Int J of Nursing Practice

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BackgroundType 1 and 2 diabetes care, especially within primary health‐care settings, has traditionally involved doctor‐led clinics. However, with increasing chronic disease burden, there is scope for nurses to expand their role in assisting diabetes self‐management.AimsThis study aimed to determine the effectiveness of nurse‐led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes.MethodsMethodology from the Joanna Briggs Institute Method for Systematic Review Research and the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed, including identifying publications, assessing study quality, summarizing evidence and interpreting findings. The search strategy involved using the Medical Subject Headings and keyword variations when searching MEDLINE (Ovid), Scopus, PubMed and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases. Inclusion criteria were samples with Type 1 or 2 diabetes, mean age of ≥18 years, English language studies and publication date of January 2011–December 2021.ResultsOverall, 34 articles from 16 countries met inclusion criteria. Though not always clinically significant, results indicated that nurse‐led care had beneficial impacts on glycated haemoglobin values, with reductions from 0.03% to 2.0%. This was evident when nurses received formal training, used treatment algorithms, had limited medical support, utilized technology and offered defined culturally sensitive and appropriate diabetes care.ConclusionsFindings support nurse‐led Type 1 and 2 diabetes care. Although further research is required, changes may necessitate increased recognition of nurse‐led care and funding. Nurse‐led care models should differ according to health‐care settings.

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Combined Diabetes Prevention and Disease Self-Management Intervention for Nicaraguan Ethnic Minorities: A Pilot Study

Abstract: Findings suggest our novel intervention holds promise for wider application to reduce diabetes burden among Nicaraguan ethnic minorities.

Cited by 4 publications

References 27 publications

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Current State of Diabetes Mellitus Prevalence, Awareness, Treatment, and Control in Latin America: Challenges and Innovative Solutions to Improve Health Outcomes Across the Continent

Community-Based Healthcare for Migrants and Refugees: A Scoping Literature Review of Best Practices

Systematic review of the effectiveness of nurse‐led care in reducing glycated haemoglobin in adults with Type 1 or 2 diabetes

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