Evaluation of a Behavior Support Intervention for Patients With Poorly Controlled Diabetes

Frosch, Dominick L.; Uy, Visith; Ochoa, Socorro; Mangione, Carol M.

doi:10.1001/archinternmed.2011.497

Cited by 112 publications

(190 citation statements)

References 18 publications

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“…33,49,50,54,55 While we did find that all participants had improvements in A1C at 3 months, this improvement was not sustained at 6 months. Participants may not have maintained the skills they gained after the weekly contact ended.…”

Section: Discussioncontrasting

confidence: 56%

“…Previous studies testing diabetes self-management interventions have had mixed results in impacting diabetes self-care activities. 49,50 Considering that Latinos tend to struggle with lifestyle changes due to competing demands and lack of resources for lifestyle change, our study demonstrated the possibility of a church-based diabetes self-management intervention helping participants overcome their struggles in making behavior change. 12,51 Even though these outcomes are self-reported, these findings are increasingly relevant since recent studies, including LOOK AHEAD, note that improvements in diet and exercise translate to improvements in many patient-centered outcomes, such as functional status and quality of life.…”

Section: Discussionmentioning

confidence: 81%

“…While some studies have demonstrated no improvements in diabetes outcomes using a lay leader approach, 33,49,50,[54][55][56] several other studies have noted that trained peers can effectively lead self-management education interventions in community settings and improve clinical outcomes. 13,19,20,[22][23][24]26,27,[57][58][59][60] Studies with Mexican Americans with diabetes utilizing peer-led diabetes self-management interventions have found improvements in glucose control.…”

Section: Discussionmentioning

confidence: 99%

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Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

et al. 2015

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BACKGROUND: Churches may provide a familiar and accessible setting for chronic disease self-management education and social support for Latinos with diabetes. OBJECTIVE: We assessed the impact of a multi-faceted church-based diabetes self-management intervention on diabetes outcomes among Latino adults. DESIGN: This was a community-based, randomized controlled, pilot study. SUBJECTS: One-hundred adults with self-reported diabetes from a Midwestern, urban, low-income MexicanAmerican neighborhood were included in the study. INTERVENTIONS: Intervention participants were enrolled in a church-based diabetes self-management program that included eight weekly group classes led by trained lay leaders. Enhanced usual care participants attended one 90-minute lecture on diabetes selfmanagement at a local church. OUTCOME MEASURES: The primary outcome was change in glycosylated hemoglobin (A1C). Secondary outcomes included changes in low-density lipoproteins (LDL), blood pressure, weight, and diabetes self-care practices. KEY RESULTS: Participants' mean age was 54±12 years, 81 % were female, 98 % were Latino, and 51 % were uninsured. At 3 months, study participants in both arms decreased their A1C from baseline (−0.32 %, 95 % confidence interval [CI]: -0.62, -0.02 %). The difference in change in A1C, LDL, blood pressure and weight from baseline to 3-month and 6-month follow-up was not statistically significant between the intervention and enhanced usual care groups. Intervention participants

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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Picture Good Health: A Church-Based Self-Management Intervention Among Latino Adults with Diabetes

et al. 2015

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“…This left a total of 35 articles included in the review. There were 15 (43%) descriptive or observational studies (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), 4 (11%) design or development studies (28-31), 3 (9%) quasi-experimental studies (2,32,33), 7 (20%) randomized controlled trials (34)(35)(36)(37)(38)(39)(40), and 6 (17%) qualitative studies (41)(42)(43)(44)(45)(46) included in the review.…”

Section: Methodsmentioning

confidence: 99%

“…Connection is related to improved glycemic control (34), improved depression and quality of life (35), and reductions in HbA1C (31,36,38). In general connection is correlated with self-care activities in adolescents (30), improves weight loss through a telephone intervention (37), and is experienced when a family member remains vigilant (43).…”

Section: Selected Findingsmentioning

confidence: 99%

Connected health: a review of the literature

Colorafi

2016

mHealth

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In 1998, a brave cardiologist named Dean Ornish published a book called Love and Survival with a straightforward hypothesis and went on to defend, with scientific evidence, the notion that "love and intimacy are among the most powerful factors in health and illness" (1). He boldly declared, "I am not aware of any other factor in medicine-not diet, not smoking, not exercise, not stress, not genetics, not drugs, not surgerythat has a greater impact on our quality of life, incidence of illness, and premature death from all causes." In the nearly two decades since his seminal work was made available for the general public, patients and researchers alike have focused on the knowledge that the people we surround ourselves with, providing support and being supported, matters deeply to our health and well-being. This field of inquiry has firmly established the criticality of social relationships for sustaining and improving health (2) and associated the lack of social integration with specific conditions such as cardiovascular disease, depression, cancer, infection, and mortality (3). Newer analytical techniques such as social network analysis are helping a fresh generation of researchers explore patterns of social connectedness through innovative procedures and algorithms that further expand our understanding.For the purpose of this review, social support is defined as researchers to achieve connection, and to assess the state of the science in this area. We hypothesized that being connected to someone who cares is good for your health. We believe this holds true even when connection is accomplished with mobile technologies. Thirty five studies were included in this review, 21utilized technology to enhance patient-provider connection. The articles included in this review were from a total of more than nine countries and took place in hospital, physician office, and community settings.They represented people from childhood through to old age. Technologies evaluated include: telephone interventions, email, text messaging, interactive voice response (IVR), video blogs, apps, websites, and social media. There were multiple operational definitions of social support and self-management used as variables within the studies. Findings from this review suggest that being connected does matter to patients with diabetes, and being connected to family matters the most, even though the associations are complex and not always predictable. Furthermore, patients with diabetes will utilize a variety of technologies to connect with healthcare providers, team members, and even other people with the same disease. The use of technology with diabetes patients positively impacts a variety of health outcomes, such as HbA1c, weight, physical activity, healthy eating, cholesterol and frequency of glycemic monitoring.

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