National Standards for Diabetes Self-Management Education and Support

Haas, Linda B.; Maryniuk, Melinda D.; Beck, Joni; Cox, Carla; Duker, Paulina; Edwards, Laura; Fisher, Edwin B.; Hanson, Lenita; Kent, Daniel L.; Kolb, Leslie E.; McLaughlin, Sue; Orzeck, Eric A.; Piette, John D.; Rhinehart, Andrew S.; Rothman, Russell L.; Sklaroff, S. A.; Tomky, Donna; Youssef, Gretchen

doi:10.2337/dc12-1707

Cited by 202 publications

(222 citation statements)

References 129 publications

Supporting

Mentioning

215

Contrasting

Unclassified

Order By: Relevance

“…To overcome access barriers at the patient level, alternative approaches are needed to provide culturally tailored educational activities that are convenient (e.g., evenings, weekends, on-demand) and delivered where people work, play, pray, and spend the day. For example, technology-based interventions (Haas et al, 2012) and community- or peer-based approaches (Norris et al, 2002; Lorig et al, 2009) may help remove access barriers, extend the reach, and improve effectiveness of clinic-based interventions. To address other barriers experienced, an integrative comprehensive approach (e.g., Peek et al, 2012) that intervenes at multiple levels (patients, practice teams, communities, health systems) based on the chronic care model (Wagner et al, 2001) should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…There is strong evidence regarding the value of diabetes education, self-management training, and support delivered by a professional diabetes educator: that is, a health care professional (e.g., nurse, dietitian, pharmacist) who has specialized training in diabetes care (ADA, 2013b; Duncan et al, 2011; Haas et al, 2012). Some primary care clinics may have limited or no access to formal diabetes education, training, and support programs (Emerson, 2006).…”

Section: Diabetes Self-managementmentioning

confidence: 99%

See 1 more Smart Citation

Medical Assistant Coaching to Support Diabetes Self-Care Among Low-Income Racial/Ethnic Minority Populations

et al. 2014

View full text Add to dashboard Cite

Innovative, culturally tailored strategies are needed to extend diabetes education and support efforts in low-resourced primary care practices serving racial/ethnic minority groups. A randomized controlled trial examined the effect of a diabetes self-care coaching intervention delivered by medical assistants and the joint effect of intervention and ethnicity over time. The randomized repeated-measures design included 270 low-income African American and Hispanic/Latino patients with type 2 diabetes. The one-year clinic- and telephone-based medical assistant coaching intervention was culturally tailored and guided by theoretical frameworks. A1C was obtained, and a self-care measure was completed at baseline, 6 months, and 12 months. Data were analyzed using mixed-effects models with and without adjustment for covariates. There was significant overall improvement in mean self-care scores across time, but no intervention effect. Results revealed differences in self-care patterns across racial/ethnic subgroups. No differences were found for A1C levels across time or group.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Diabetes Self-managementmentioning

confidence: 99%

Medical Assistant Coaching to Support Diabetes Self-Care Among Low-Income Racial/Ethnic Minority Populations

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Individuals with depression are overwhelmed by feelings of sadness, negativity, loss of interest in activities, and fatigue, all of which combined may result in ineffective disease self-management and medication non-adherence (Gonzalez et al, 2008). However, appropriate self-management of diabetes is important for the prevention of diabetes-related complications and other adverse outcomes (Haas et al, 2012). Poor self-management on the part of individuals with diabetes can lead to an increased incidence of related complications, such as, micro- and macro-vascular disease, and death (American Diabetes Association, 2013).…”

Section: Introductionmentioning

confidence: 99%

Depression is not associated with diabetes control in minority elderly

Palta¹,

Golden²,

Teresi³

et al. 2014

Journal of Diabetes and its Complications

View full text Add to dashboard Cite

Aims We investigated the longitudinal association of depression, with and without cognitive dysfunction, with hemoglobin A1c (HbA1c), systolic blood pressure (SBP), and low-density lipoprotein (LDL) in a predominantly minority cohort. Methods There were 613 participants. Presence of depression was defined by a score ≥ 7 on the Short-CARE depression scale. We tested participants for executive dysfunction using the Color Trails Test (CTT), part 2, and for memory dysfunction using the total recall task of the Selective Reminding Test (TR-SRT). We classified performance in these tests as abnormal based on standardized score cutoffs (<16th percentile and one standard deviation below the sample mean). Random effects models were used to compare repeated measures of the diabetes control measures between those with depression versus those without depression and ever versus never cognitively impaired. Results Baseline depression was present in 36% of participants. Over a median follow-up of 2 years, depression was not related to worse HbA1c, SBP, or LDL. The presence of (1) abnormal performance on a test of executive function and depression (n = 57) or (2) abnormal performance on a test of verbal recall and depression (n = 43) was also not associated with clinically significant worse change in diabetes control. Conclusions Depression, with or without low performance in tests of executive function and memory, may not affect clinically significant measures of diabetes control in the elderly.

show abstract

“…9 The physiotherapist, pharmacist and podiatrist were included in recognition of the evolving inter-professional healthcare environment and an understanding of the diabetes self-management core curriculum. 21,22 All health professionals had received training in self-management education.…”

Section: Interventionmentioning

confidence: 99%