Health Care Interventions to Improve the Quality of Diabetes Care in African Americans

Ricci‐Cabello, Ignacio; Ruiz-Pérez, Isabel; Nevot-Cordero, Adela; Rodríguez‐Barranco, Miguel; Sordo, Luis; Gonçalves, Daniela Caetano

doi:10.2337/dc12-1057

Cited by 34 publications

(38 citation statements)

References 52 publications

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“…Another possible explanation for this may be that these interventions relied primarily on educational sessions to impact participant behavior. A 2013 systematic review of efforts to improve diabetes care for rural patients in Organization for Economic Cooperation and Development (OECD) countries found that though patient-education interventions were frequently implemented, they were less effective at improving diabetes-related outcomes than interventions that targeted the healthcare delivery system or had multiple targets [38]. For interventions where peer social support was provided, it may have fallen short of helping patients identify goals and practice diabetes-related behaviors in real time.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Self-Management Interventions for Adults with Type 2 Diabetes Living in Rural Areas: A Systematic Literature Review

et al. 2015

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In rural communities, high rates of diabetes and its complications are compounded by limited access to health care and scarce community resources. We systematically reviewed the evidence for the impact of diabetes self-management education interventions designed for patients living in rural areas on glycemic control and other diabetes outcomes. Fifteen studies met inclusion criteria. Ten were randomized controlled trials. Intervention strategies included in-person diabetes (n=9) and telehealth (n=6) interventions. Four studies demonstrated between group differences for biologic outcomes, four studies demonstrated changes in behavior, and three studies demonstrated changes in knowledge. Intervention dose was associated with improved A1c or weight loss in two studies and session attendance in one study. Interventions that included collaborative goal-setting were associated with improved metabolic outcomes and self-efficacy. Telehealth and face-to-face diabetes interventions are both promising strategies for rural communities. Effective interventions included collaborative goal-setting. Intervention dose was linked to better outcomes and higher attendance.

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Section: Discussionmentioning

confidence: 99%

Diabetes Self-Management Interventions for Adults with Type 2 Diabetes Living in Rural Areas: A Systematic Literature Review

et al. 2015

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“…African Americans are indeed well known to carry a heavier load of diabetes than the general population. 38,39 Indeed, increased insulin production is common during neoplastic transformation. This is probably linked to the hormone signaling pathway, which have many elements in common with several growth factors signaling pathways such as TGF-β1.…”

Section: Discussionmentioning

confidence: 99%

DNA methylome profiling identifies novel methylated genes in African American patients with colorectal neoplasia

et al. 2014

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“…Healthcare organization interventions in minority populations have included systems for rapid turnaround HbA1c, circumscribed appointments, support staff (e.g., nurse case management, community health worker, pharmacist), and increased follow-up through home visits or telephone/mail contact [52, 63]. In Peek’s review, 14 studies with interventions targeting the healthcare organization resulted in a mean HbA1c reduction of 0.34%.…”

Section: Evidence-based Intervention Programs Across the Population Hmentioning

confidence: 99%

The Case for Diabetes Population Health Improvement: Evidence-Based Programming for Population Outcomes in Diabetes

et al. 2017

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Purpose of Review The goal of this review is to describe diabetes within a population health improvement framework and to review the evidence for a diabetes population health continuum of intervention approaches, including diabetes prevention and chronic and acute diabetes management, to improve clinical and economic outcomes. Recent Findings Recent studies have shown that compared to usual care, lifestyle interventions in prediabetes lower diabetes risk at the population-level and that group-based programs have low incremental medial cost effectiveness ratio for health systems. Effective outpatient interventions that improve diabetes control and process outcomes are multi-level, targeting the patient, provider, and healthcare system simultaneously and integrate community health workers as a liaison between the patient and community-based healthcare resources. A multi-faceted approach to diabetes management is also effective in the inpatient setting. Interventions shown to promote safe and effective glycemic control and use of evidence-based glucose management practices include provider reminder and clinical decision support systems, automated computer order entry, provider education, and organizational change. Summary Future studies should examine the cost-effectiveness of multi-faceted outpatient and inpatient diabetes management programs to determine the best financial models for incorporating them into diabetes population health strategies.

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Health Care Interventions to Improve the Quality of Diabetes Care in African Americans

Cited by 34 publications

References 52 publications

Diabetes Self-Management Interventions for Adults with Type 2 Diabetes Living in Rural Areas: A Systematic Literature Review

Diabetes Self-Management Interventions for Adults with Type 2 Diabetes Living in Rural Areas: A Systematic Literature Review

DNA methylome profiling identifies novel methylated genes in African American patients with colorectal neoplasia

The Case for Diabetes Population Health Improvement: Evidence-Based Programming for Population Outcomes in Diabetes

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