A randomized controlled trial of the effects of nurse case manager and community health worker team interventions in urban African-Americans with type 2 diabetes

Gary, Tiffany L.; Batts-Turner, Marian; Bone, Lee R.; Yeh, Hsin Chieh; Wang, Nae Yuh; Hill-Briggs, Felicia; Levine, David M.; Powe, Neil R.; Hill, Martha N.; Saudek, Christopher D.; McGuire, Maura; Brancati, Frederick L.

doi:10.1016/j.cct.2003.10.010

Cited by 65 publications

(67 citation statements)

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“…Of the 2,450 individuals who were screened, 542 agreed to enroll in the trial. Additional details of the recruitment process and characteristics of participants and nonparticipants can be found elsewhere (8). The roughly 3:1 female:male ratio shown in our study was also noted in the non-participants, most likely reflecting that women with diabetes are more likely than men with diabetes to be enrolled in primary care.…”

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confidence: 64%

Association Between Parental History of Type 2 Diabetes and Glycemic Control in Urban African Americans

et al. 2008

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OBJECTIVE —The purpose of this study was to examine the association between parental history of type 2 diabetes and glycemic control among diabetic urban African Americans. RESEARCH DESIGN AND METHODS —Study participants included 359 African Americans with type 2 diabetes from Baltimore, Maryland, enrolled in Project Sugar 2. Participants underwent an interview-administrated questionnaire that asked about family history, sociodemographics, clinical characteristics, and knowledge and perception of adequate glycemic control. Regression analysis was used to determine the association between parental history of diabetes and glycemic control, as measured by A1C. RESULTS —In the comparisons between participants with and without a parental history of diabetes, those with a positive parental history tended to be younger, have higher glucose levels, and have higher blood glucose levels before calling a doctor (all P < 0.05). After adjustments for age, sex, and BMI, there was a significant association ( P = 0.02) between A1C and parental history with the mean A1C difference between those with a positive and a negative parental history being 0.58%. However, after adjustment for duration of diabetes, the association was no longer significant ( P = 0.11). However, there was a tendency for individuals with two diabetic parents to have higher A1C ( P = 0.011). CONCLUSIONS —From these results, we conclude that among the urban African American participants who were aware of their parental history of diabetes, a positive parental history was associated with worse glycemic control, partly due to longer duration of diabetes. Parental history did not appear to be associated with better knowledge or perception of adequate glycemic control.

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confidence: 64%

Association Between Parental History of Type 2 Diabetes and Glycemic Control in Urban African Americans

et al. 2008

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“…It could be linked to the low level of peer support group in the long term period. Other studies also showed no significant on HbA1c level (29,32,34) …”

Section: Clinical Outcomesmentioning

confidence: 93%

“…We found that DSME based individual program was conducted into 40.9% of the studies (12,13,16,20,23,25,29,30,32) and 59.1% of the studies offered the DSME in a combination of individual and group education (12,14,15,17,20,21,27,31,32,34) . In general, The individual or group-based program provided the intervention of several strategies, including personalized counseling, feedback regarding goal-setting and problem-solving, support for self-care practice from family members, and the follow-up session.…”

Section: Diabetes Mellitus Self-management Education (Dsme)mentioning

confidence: 99%

“…Three studies were noticed to follow-up the program by using the telephone method (13,14,25,26,32) . Mix of telephone and face-to-face follow-up strategies (18)(19)(20)29) and two studies did not mention about the follow-up process for evaluating the program (16,21) …”

Section: Follow-up Strategiesmentioning

confidence: 99%

“…Ten review studies showed the improvement on HbA1c (12, 15, 18, 20-22, 24, 30-32) after succeeding the diabetes self-management. Five studies focused on the dietary modification support to improve blood pressure level (12,20,21,26,29) . In addition, the relationship between perceives support and lifestyle modification also improved body mass index (12,33) and lipid profile (21,29,32) .…”

Section: Clinical Outcomesmentioning

confidence: 99%

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A Systematic Review: Family Support Integrated To Diabetes Self-Management among Glycemic Uncontrolled Type II DM Patients

Pamungkas¹,

Chamroonsawasdi²,

Vatanasomcoon³

2017

Preprint

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Abstract:Background: Diabetes mellitus is dramatically increasing in the wide world. The managing of diabetes care emphasized the self-management education and support into patients' care and family care.Objective: to review and synthesizes the effectiveness of DSME strategies involving family as a key person to provide social support for diabetes mellitus self-management of glycemic uncontrolled patients Method: Three databases through PubMed, CINAHL, and Scopus were reviewed to assess the relevant articles. The following search terms: "type 2 diabetes," "self-management," "family support," and "glycemic uncontrolled." We summarized details of family support on self-management among glycemic uncontrolled patients for 14 existing studies.Results: A total of 22 intervention studies were identified. Those studies have a heterogeneous of the education strategies, support perceived, follow-ups strategies and outcomes among type 2 DM. Family integration on diabetes self-management education (DSME) has a positive impact on several outcomes including, self-care behaviors, psychological outcomes, self-efficacy and clinical outcomes Conclusions: This systematic review found robust data related to the integration of family support on diabetes self-management among glycemic uncontrolled patients. Consequently, the improvement in outcomes was identified. Implications:The findings suggest model of family engagement is better and needed for sustaining the diabetes care in the long-term care

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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

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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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A randomized controlled trial of the effects of nurse case manager and community health worker team interventions in urban African-Americans with type 2 diabetes

Cited by 65 publications

References 10 publications

Association Between Parental History of Type 2 Diabetes and Glycemic Control in Urban African Americans

Association Between Parental History of Type 2 Diabetes and Glycemic Control in Urban African Americans

A Systematic Review: Family Support Integrated To Diabetes Self-Management among Glycemic Uncontrolled Type II DM Patients

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

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