Development and Pilot Evaluation of Literacy-Adapted Diabetes and CVD Education in Urban, Diabetic African Americans

Hill-Briggs, Felicia; Renosky, Ronda J.; Lazo, Mariana; Bone, Lee R.; Hill, Martha N.; Levine, David M.; Brancati, Frederick L.; Peyrot, Mark

doi:10.1007/s11606-008-0679-9

Cited by 24 publications

(36 citation statements)

References 11 publications

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“…Patient satisfaction and usability were assessed using a series of nine items on which participants rate, on a scale from 1 (least) to 5 (most), ease of use, ease of understanding, usability, helpfulness, and satisfaction with the education program and workbooks. 13,14 Data Analysis Categorical variables were described using frequency distributions, and continuous variables were described using mean and standard deviation, for the entire study sample and by intervention assignment. Distributional differences in these variables between intervention groups were evaluated using chi-square test for categorical variables and analysis of variance for continuous variables.…”

Section: Methodsmentioning

confidence: 99%

“…Further details of the educational content are described elsewhere. 13,14 The interventions and materials were adapted for low literacy and accessibility using available guidelines. [15][16][17][18] Patient workbooks also utilized colors (red/green) and symbols (thumbs up/thumbs down) for key concepts.…”

Section: Diabetes and Cvd Education Modulementioning

confidence: 99%

“…[15][16][17][18] Patient workbooks also utilized colors (red/green) and symbols (thumbs up/thumbs down) for key concepts. Pre-testing demonstrated module effectiveness and suitability for persons with low and average literacy 13 and for persons with mild to moderate visual and cognitive impairments. 14 …”

Section: Diabetes and Cvd Education Modulementioning

confidence: 99%

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Effect of Problem-Solving-Based Diabetes Self-Management Training on Diabetes Control in a Low Income Patient Sample

et al. 2011

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BACKGROUND: Lower socioeconomic status is associated with excess disease burden from diabetes. Diabetes self-management support interventions are needed that are effective in engaging lower income patients, addressing competing life priorities and barriers to selfcare, and facilitating behavior change. OBJECTIVE: To pilot test feasibility, acceptability, and effect on disease control of a problem-based diabetes self-management training adapted for low literacy and accessibility. DESIGN: Two-arm randomized controlled trial powered to detect a 0.50% change in A1C at follow-up with a 2-sided alpha of 0.05 in a pooled analysis. PARTICIPANTS: Fifty-six urban African-American patients with type 2 diabetes and suboptimal blood sugar, blood pressure, or cholesterol control recruited from a diabetes registry within a university-affiliated managed care organization. INTERVENTIONS: A group, problem-based diabetes self-management training designed for delivery in an intensive and a condensed program format. Three intensive and three condensed program groups were conducted during the trial. MAIN MEASURES: Clinical (A1C, systolic blood pressure [SBP], diastolic blood pressure [DBP], LDL and HDL cholesterol) and behavioral (knowledge, problem solving, self-management behavior) data were measured at baseline, post-intervention, and 3 months post-intervention (corresponding with 6-9 months following baseline). RESULTS: Adoption of both programs was high (>85% attendance rates, 95% retention). At 3 months postintervention, the between-group difference in A1C change was −0.72% (p =0.02), in favor of the intensive program. A1C reduction was partially mediated by problem-solving skill at follow-up (ß = −0.13, p=0.04). Intensive program patients demonstrated within-

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Section: Methodsmentioning

confidence: 99%

Section: Diabetes and Cvd Education Modulementioning

confidence: 99%

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Effect of Problem-Solving-Based Diabetes Self-Management Training on Diabetes Control in a Low Income Patient Sample

et al. 2011

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“…Before any intervention, patients with low literacy generally score lower on tests of diabetes knowledge than patients with higher literacy. 6,7 As discussed above, this may be important in the pathway that links low literacy with worse diabetes outcomes.…”

Section: Key Question 1: What Interventions Improve Knowledge Of Diabmentioning

confidence: 98%

“…[6][7][8][9][10][11][12] Overall, five of the six studies showed improvement in diabetes knowledge as measured by a significant improvement in a diabetes knowledge test. Each of the studies used a different diabetes knowledge test to measure diabetes knowledge.…”

Section: Key Question 1: What Interventions Improve Knowledge Of Diabmentioning

confidence: 99%

Interventions to Improve Diabetes Outcomes for People With Low Literacy and Numeracy: A Systematic Literature Review

Scoyoc¹,

DeWalt²

2010

Diabetes Spectrum

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This systematic review summarizes the research on interventions to improve outcomes for patients with diabetes and low literacy. We find that it is possible to improve health outcomes for patients with low literacy and to reduce disparities between patients with high and low literacy. The interventions that have been most successful combine personalized teaching with longitudinal follow-up and patient support.

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The economic consequences of diabetes and cardiovascular disease in the United States

Ariza

Vimalananda

Rosenzweig

2010

Rev Endocr Metab Disord

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Diabetes-related care and complications constitute a significant proportion of the United States' (US) health care expenditure. Of these complications, cardiovascular disease (CVD) is a major component. Higher morbidity and mortality rates translate to higher costs of care in patients with diabetes compared to those who do not have the disease. Minorities bear a disproportionate burden of diabetes and CVD. We review this disparity and examine potential etiologies for it in Hispanics and African-Americans, the two largest minority groups in the US. We examine strategies in these populations that may improve outcomes in diabetes and CVD, potentially decreasing health care costs.

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Development and Pilot Evaluation of Literacy-Adapted Diabetes and CVD Education in Urban, Diabetic African Americans

Abstract: Development of patient education meeting very low literacy criteria was feasible, effective for knowledge acquisition, and highly acceptable irrespective of literacy level.

Cited by 24 publications

References 11 publications

Effect of Problem-Solving-Based Diabetes Self-Management Training on Diabetes Control in a Low Income Patient Sample

Effect of Problem-Solving-Based Diabetes Self-Management Training on Diabetes Control in a Low Income Patient Sample

Interventions to Improve Diabetes Outcomes for People With Low Literacy and Numeracy: A Systematic Literature Review

The economic consequences of diabetes and cardiovascular disease in the United States

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