Implementing a Diabetes Education Program to Reduce Health Disparities in South Texas: Application of the RE-AIM Framework for Planning and Evaluation

Ory, Marcia G.; Lee, Shinduk; Towne, Samuel D.; Flores, Starr; Gabriel, Olga; Smith, Matthew Lee

doi:10.3390/ijerph17176312

Cited by 11 publications

(9 citation statements)

References 35 publications

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“…As reported in other studies, maintenance at the individual and setting levels was challenging among the RE-AIM elements [ 31 ]. Our findings showed that the HSTAP was associated with improved participants’ health outcomes at 6 months and household environment and behaviors at 9–12 months after implementing the intervention.…”

Section: Discussionmentioning

confidence: 87%

“…The RE-AIM model has been widely used in various research areas, including public health, health behavior change, and individual, clinical, organizational, and community settings [ 12 ]. For example, a recent study applied the RE-AIM model to present the process and outcomes of a diabetes education program implemented in South Texas [ 14 ]. Another research revealed that RE-AIM could be an effective model for planning and assessing clinical and community-based projects [ 15 ].…”

Section: Methodsmentioning

confidence: 99%

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Evaluation of Healthy South Texas Asthma Program on improving health outcomes and reducing health disparities among the underserved Hispanic population: using the RE-AIM model

et al. 2021

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Background In the United States, childhood asthma prevalence is higher among low-income communities and Hispanic populations. Previous studies found that asthma education could improve health and quality of life, especially in vulnerable populations lacking healthcare access. This study aims to describe Healthy South Texas Asthma Program (HSTAP), an evidence-based asthma education and environmental modification program in South Texas, and evaluate its associations with health-related outcomes among Hispanic children with asthma and their families. Methods The RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) planning and evaluation framework was used as an overarching tool to evaluate the impact of the HSTAP. This educational program included 451 children with asthma and their families living in South Texas, an impoverished area at the Texas-Mexico border. The program consisted of (a) the asthma education (2-h) for children with asthma provided by Respiratory Therapy students at the children’s schools and (b) the home visit Asthma and Healthy Homes education and walk-through sessions (at baseline and 3 months) for parents and two follow-up visits (6 and 9–12 months later) led by community health workers. The education was provided in either English or Spanish between September 2015 and August 2020 as part of the Healthy South Texas Initiative. A pre-and post-test design was implemented to assess the differences in health outcomes, knowledge, and behaviors using standardized self-reported surveys as reported by parents. Analyses included primary descriptive analyses, generalized estimating equation models, the Wilcoxon signed-rank test, and the McNemar test. Results The HSTAP was significantly associated with improved individual-level outcomes on the frequency of asthma-related respiratory symptoms, including shortness of breath, chest tightness, coughing, and sleep difficulty, among children with asthma, as well as an enhanced asthma knowledge in their family. This study also showed significant associations with children’s school attendance and participation in physical activities and family social events and decreased families’ worry about their asthma management. Conclusions The RE-AIM model was a helpful framework to assess the HSTAP on all its components. The results suggest that participation in an asthma education and environmental modification program was associated with improved individual-level health conditions and reduced health disparities among children with asthma in low-income communities.

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Section: Discussionmentioning

confidence: 87%

Section: Methodsmentioning

confidence: 99%

Evaluation of Healthy South Texas Asthma Program on improving health outcomes and reducing health disparities among the underserved Hispanic population: using the RE-AIM model

et al. 2021

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“…More than 40% of DM patients are unable to undergo therapy and healthy lifestyle modifications according to the recommendations of health workers (Pratiwi et al, 2018;Shetty et al, 2021). Several previous studies have shown that mobile health-based DM treatment is effective in reducing hbA1c levels and improving self-management of DM patients (Faroqi et al, 2018;Ory et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

A Literature Review on Diabetes Mellitus Management: A Nursing Philosophy

Pratiwi¹,

Pandin²,

Nursalam³

2022

Preprint

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BackgroundGood management behavior in patients with diabetes mellitus can reduce disease complications and improve quality of life. This philosophical problem is very important for nurses who are able to provide management care for diabetic patients. The purpose of this literature review is to describe the concept, model or theory that can be used in improving the management of diabetes mellitus patients.MethodsThe method used is by searching several studies published through the Scopus database, PubMed, CINAHL, SpingerLink, and web of science (WOS). The search strategy uses a combination of the terms MeSH Terms. The research questions were designed using the principles of the PICOS framework. Selected studies were published from 2017-2022.ResultsA total of 15 studies were included, with 12 using quantitative methodology and 3 were qualitative. The studies were conducted across various countries. The majority of articles used the concept of self-management intervention based on digital-based development and e-health (n=6), Dorothea Orem's self-care deficit nursing theory n=2) and the transtheoretical model (n=2). These concepts, models and theories are able to improve good self-management through lifestyle changes, psychosocial, cultural acculturation and increase in spiritual values (n=6).ConclusionTransitional change focuses on changing the modifiable factors found in the concepts, models and theories of the articles obtained. Future research can be developed to assess the existence of elaborations and modifications based on the philosophy that people with diabetes are responsible for their own health.

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“…The CBHEC provides community-based educational and support programs that consist of diabetes management interventions, prevention activities, and clinical support in the south Texas region. 22 Recognized by the American Diabetes Association (ADA), the DSMES program offered by the CBHEC helps patients diagnosed with diabetes self-manage by learning practical strategies for making healthy lifestyle choices. The program also teaches those with prediabetes or at risk of developing diabetes to prevent or delay the onset of the disease.…”

Section: Methodsmentioning

confidence: 99%

Factors Affecting Adoption of a Technology-Based Tool for Diabetes Self-Management Education and Support Among Adult Patients with Type 2 Diabetes in South Texas

Baek

Lin

Bolin

et al. 2021

The Science of Diabetes Self-Management and Care

Self Cite

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Purpose The purpose of this study is to describe a novel computerized diabetes education tool and explore factors influencing self-selection and use among primarily Hispanic patients diagnosed with type 2 diabetes in south Texas. Methods Study participants included 953 adult patients with type 2 diabetes enrolled in a diabetes education program between July 1, 2016, and June 30, 2017. Participants were asked to choose either a new technology-based diabetes education tool with a touch-screen device or a traditional face-to-face education method. Multivariate logistic regression analysis was applied to identify factors associated with adopting the computerized diabetes education tool among the patients. Results When comparing technology-based tool adopters and nonadopters, several demographic and health-related factors differentiated technology use in bivariate analyses. The multivariate logistic regression model showed that Hispanic patients were less likely to choose a technology-based tool. Patients who perceived their health status as excellent/good were more likely to adopt the technologic education method than those with fair/poor perceived health status. A1C level was negatively associated with self-selection of technology. Conclusions Specific demographic and health-related characteristics are significant contributing factors to patients’ adoption of a technology-based diabetes education tool. Health care providers can utilize these findings to target and refer specific patients to a computerized diabetes education tool for more effective diabetes care and to optimize technology adoption success.

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Implementing a Diabetes Education Program to Reduce Health Disparities in South Texas: Application of the RE-AIM Framework for Planning and Evaluation

Cited by 11 publications

References 35 publications

Evaluation of Healthy South Texas Asthma Program on improving health outcomes and reducing health disparities among the underserved Hispanic population: using the RE-AIM model

Evaluation of Healthy South Texas Asthma Program on improving health outcomes and reducing health disparities among the underserved Hispanic population: using the RE-AIM model

A Literature Review on Diabetes Mellitus Management: A Nursing Philosophy

Factors Affecting Adoption of a Technology-Based Tool for Diabetes Self-Management Education and Support Among Adult Patients with Type 2 Diabetes in South Texas

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