Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans

Gary, Tiffany L.; Bone, Lee R.; Hill, Martha N.; Levine, David M.; McGuire, Maura; Saudek, Christopher D.; Brancati, Frederick L.

doi:10.1016/s0091-7435(03)00040-9

Cited by 195 publications

(232 citation statements)

References 32 publications

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“…The three interventions all appeared to come from a biomedical perspective, and emphasised disease-specific knowledge as a way to improve condition management. However, because in the Gary 2003 98-100 study the participants were encouraged to set their own priorities (all being from a predetermined list), 77% of visits by the health advisor addressed needs outside the diabetesspecific focus, such as social (family responsibilities), health insurance and non-diabetic health issues. None of the studies measured general health or QoL.…”

Section: Discussionmentioning

confidence: 99%

“…This is very similar in Dickson-Gomez 2006 91,92 where LAs reported gaining support and respect from their community members for their prevention work. In Gary 2003 98-100 intervention participation was much higher in the LA group versus nurse case manager, suggesting greater intervention acceptability.…”

Section: Health-care Beliefs and Knowledge (Personal Factors)mentioning

confidence: 98%

“…All three diabetes interventions had information giving components, which were culturally adapted in Gary 2003 98-100 and Lujan 2007. 112 The CHW in Gary 2003 98-100 offered appointment and visit scheduling, monitored behaviours, reinforced adherence to treatment recommendations, mobilised social support and provided physician feedback.…”

Section: Approachmentioning

confidence: 99%

“…In Young 2005, 121-123 the call centre application covered four domains: gaps in knowledge (this included weight management, healthy eating, physical activity, stress management and smoking), readiness to change, medication adherence and blood glucose control. 121-123 used practitioners with no specific relationship with the community that they served (though the health advisor was described as 'local' in Gary 2003 98-100 it was not specified whether he or she is also of African-American origin). All the LAs in Young 2005 [120][121][122] were call centre operatives who were selected for their professional telephone manners.…”

Section: Main Activitiesmentioning

confidence: 99%

“…Gary 2003 98-100 measured other surrogate markers of cardiovascular health, such as low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol levels, triglycerides, systolic and diastolic blood pressure, and body mass index (BMI). Unfortunately, the absolute changes in outcomes are not reported in Gary 2003 98-100 only the difference between arms, making it difficult to assess whether the reported effects are due to decreases in the trial arms or increases in the controls. The reported changes in systolic and diastolic blood pressure, HDL and LDL cholesterol and triglycerides are mostly in a similar direction to the primary outcome measure, but are not significant.…”

Section: Gary 2003mentioning

confidence: 99%

See 4 more Smart Citations

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. ii ii HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of pro...

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Section: Discussionmentioning

confidence: 99%

Section: Health-care Beliefs and Knowledge (Personal Factors)mentioning

confidence: 98%

Section: Approachmentioning

confidence: 99%

Section: Main Activitiesmentioning

confidence: 99%

Section: Gary 2003mentioning

confidence: 99%

See 3 more Smart Citations

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

Carr

Lhussier²,

Forster³

et al. 2011

Health Technol Assess

View full text Add to dashboard Cite

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The Effects of a Nurse Case Manager and a Community Health Worker Team on Diabetic Control, Emergency Department Visits, and Hospitalizations Among Urban African Americans With Type 2 Diabetes Mellitus

Gary¹,

Batts-Turner

Yeh³

et al. 2009

Arch Intern Med

Self Cite

156

193

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Background Although African American adults bear a disproportionate burden from diabetes mellitus (DM), few randomized controlled trials have tested culturally appropriate interventions to improve DM care. Methods We randomly assigned 542 African Americans with type 2 DM enrolled in an urban managed care organization to either an intensive or minimal intervention group. The intensive intervention group consisted of all components of the minimal intervention plus individualized, culturally tailored care provided by a nurse case manager (NCM) and a community health worker (CHW), using evidence-based clinical algorithms with feedback to primary care providers (eg, physicians, nurse practitioners, or physician assistants). The minimal intervention consisted of mailings and telephone calls every 6 months to remind participants about preventive screenings. Data on diabetic control were collected at baseline and at 24 months by blind observers; data emergency department (ER) visits and hospitalizations were assessed using administrative data. Results At baseline, participants had a mean age of 58 years, 73% were women, and 50% were living in poverty. At 24 months, compared with the minimal intervention group, those in the intensive intervention group were 23% less likely to have ER visits (rate difference [RD], −14.5; adjusted rate ratio [RR], 0.77; 95% confidence interval [CI], 0.59-1.00). In on-treatment analyses, the rate reduction was strongest for patients who received the most NCM and CHW visits (RD, −31.0; adjusted RR, 0.66; 95% CI, 0.43–1.00; rate reduction ↓ 34%). Conclusion These data suggest that a culturally tailored intervention conducted by an NCM/CHW team reduced ER visits in urban African Americans with type 2 DM.

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Effects of Quality Improvement Strategies for Type 2 Diabetes on Glycemic Control

Shojania

Ranji

McDonald

et al. 2006

JAMA

585

517

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Most QI strategies produced small to modest improvements in glycemic control. Team changes and case management showed more robust improvements, especially for interventions in which case managers could adjust medications without awaiting physician approval. Estimates of the effectiveness of other specific QI strategies may have been limited by difficulty in classifying complex interventions, insufficient numbers of studies, and publication bias.

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Randomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans

Cited by 195 publications

References 32 publications

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

An evidence synthesis of qualitative and quantitative research on component intervention techniques, effectiveness, cost-effectiveness, equity and acceptability of different versions of health-related lifestyle advisor role in improving health.

The Effects of a Nurse Case Manager and a Community Health Worker Team on Diabetic Control, Emergency Department Visits, and Hospitalizations Among Urban African Americans With Type 2 Diabetes Mellitus

Effects of Quality Improvement Strategies for Type 2 Diabetes on Glycemic Control

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