Diabetes Mellitus Management Among Patients with Limited English Proficiency: A Systematic Review and Meta-Analysis

Njeru, Jane W.; Wieland, Mark L.; Kwete, Gracia M.; Tan, Eugene M.; Breitkopf, Carmen Radecki; Agunwamba, Amenah A.; Prokop, Larry J.; Murad, M. Hassan

doi:10.1007/s11606-017-4237-1

Cited by 20 publications

(7 citation statements)

References 44 publications

(36 reference statements)

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“…In the case of self-management or self-care, the main focus was on interventions related to weight loss and the promotion of physical activity [ 26 , 27 ], through interventions focused on lifestyle changes and behavioral counseling that have shown positive results in weight loss and diet modification [ 28 , 29 ]. Likewise, it was evident in vulnerable populations that multi-component and personally tailored interventions based on counseling are more effective for glycemic control and the reduction of inequalities in oral health [ 30 , 31 ].…”

Section: Resultsmentioning

confidence: 99%

An overview of reviews on strategies to reduce health inequalities

Garzón‐Orjuela

Samacá-Samacá

Angulo

et al. 2020

Int J Equity Health

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Background Governments are incentivized to develop and implement health action programs focused on equity to ensure progress with effective strategies or interventions. Objective Identify and synthesize strategies or interventions that facilitate the reduction of health inequalities. Methods A systematic search strategy was carried out up until August 2019 in MEDLINE (Ovid), Embase (Elsevier), Cochrane Database of Systematic Reviews, LILACS, Scopus, Scielo and Epistemonikos. In addition, a snowball strategy was used. Literature reviews (LRs) of experimental and quasi-experimental studies were included. The identified interventions and outcomes were categorized based on the recommendation by the Cochrane group in “Effective Practice and Organization of Care”. The quality of the included LRs was evaluated using the AMSTAR 2 tool. Results Four thousand ninety-five articles were identified, of which 97 were included in the synthesis of evidence. Most of the studies included focused on the general population, vulnerable populations and minority populations. The subjects of general health and healthy lifestyles were the most commonly addressed. According to the classification of the type of intervention, the domain covered most was the delivery arrangements, followed by the domain of implementation strategies. The most frequent group of outcomes was the reported outcome in (clinical) patients, followed by social outcomes. Conclusion The strategies that facilitate the reduction of health inequalities must be intersectoral and multidisciplinary in nature, including all sectors of the health system. It is essential to continue generating interventions focused on strengthening health systems in order to achieve adequate universal health coverage, with a process of comprehensive and quality care.

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Section: Resultsmentioning

confidence: 99%

An overview of reviews on strategies to reduce health inequalities

Garzón‐Orjuela

Samacá-Samacá

Angulo

et al. 2020

Int J Equity Health

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“…The findings from Njeru et al 2 suggest fruitful avenues for future research. Overall, the LEP population in the USA is very linguistically and culturally heterogeneous with substantial variations in country of origin, education level, and socioeconomic status.…”

mentioning

confidence: 95%

“…L imited English proficiency (LEP) is associated with numerous health disparities, including poorer glycemic control in LEP patients with diabetes. 1 In this issue, Njeru et al 2 report findings from a systematic review and meta-analysis of diabetes self-management education (DSME) interventions in LEP populations. In their meta-analysis, DSME interventions were associated with a significant lower hemoglobin A 1c (− 0.84% [95% CI, − 0.97 to − 0.71]) than usual care.…”

mentioning

confidence: 99%

Capsule Commentary on Njeru et al., Diabetes Mellitus Management Among Patients with Limited English Proficiency: a Systematic Review and Meta-analysis

Cunningham

2018

J GEN INTERN MED

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“…guaranteed as a Civil Right, 1 language barriers between patients and health care providers are a social determinant of health that are known to contribute to disparities in health care and health outcomes. [2][3][4][5][6][7][8][9][10][11][12][13][14] They have also increasingly been shown to contribute to hospital readmissions. [15][16][17][18] Further, evidence suggests that people are more likely to seek out a provider who speaks their language at a sufficient level of fluency for safe communication.…”

mentioning

confidence: 99%

“…Despite access to language services in health care being guaranteed as a Civil Right, 1 language barriers between patients and health care providers are a social determinant of health that are known to contribute to disparities in health care and health outcomes 2–14 . They have also increasingly been shown to contribute to hospital readmissions 15–18 .…”

mentioning

confidence: 99%

Continuity of Care Versus Language Concordance as an Intervention to Reduce Hospital Readmissions From Home Health Care

Squires

Engel

et al. 2023

Medical Care

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Background: Language concordance between health care practitioners and patients have recently been shown to lower the risk of adverse health events. Continuity of care also been shown to have the same impact. Objective: The purpose of this paper is to examine the relative effectiveness of both continuity of care and language concordance as alternative or complementary interventions to improve health outcomes of people with limited English proficiency. Design: A multivariable logistic regression model using rehospitalization as the dependent variable was built. The variable of interest was created to compare language concordance and continuity of care. Participants: The final sample included 22,103 patients from the New York City area between 2010 and 2015 who were non–English-speaking and admitted to their home health site following hospital discharge. Measures: The odds ratio (OR) average marginal effect (AME) of each included variable was calculated for model analysis. Results: When compared with low continuity of care and high language concordance, high continuity of care and high language concordance significantly decreased readmissions (OR=0.71, 95% CI: 0.62–0.80, P<0.001, AME=−4.95%), along with high continuity of care and low language concordance (OR=0.80, 95% CI: 0.74–0.86, P<0.001, AME=−3.26%). Low continuity of care and high language concordance did not significantly impact readmissions (OR=1.04, 95% CI: 0.86–1.26, P=0.672, AME=0.64%). Conclusion: In the US home health system, enhancing continuity of care for those with language barriers may be helpful to address disparities and reduce hospital readmission rates.

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Diabetes Mellitus Management Among Patients with Limited English Proficiency: A Systematic Review and Meta-Analysis

Cited by 20 publications

References 44 publications

An overview of reviews on strategies to reduce health inequalities

An overview of reviews on strategies to reduce health inequalities

Capsule Commentary on Njeru et al., Diabetes Mellitus Management Among Patients with Limited English Proficiency: a Systematic Review and Meta-analysis

Continuity of Care Versus Language Concordance as an Intervention to Reduce Hospital Readmissions From Home Health Care

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