Translating Comparative Effectiveness Research Into Practice: Effects of Interventions on Lifestyle, Medication Adherence, and Self-care for Type 2 Diabetes, Hypertension, and Obesity Among Black, Hispanic, and Asian Residents of Chicago and Houston, 2010 to 2013

Abstract

Adaptation, adoption, and implementation of HELP and MyRx demonstrated important postintervention changes among racial/ethnic participants in Chicago and Houston. The communities faced similar implementation challenges across settings, targets of change, and cities. Available resources were insufficient to sustain benefits with measurable impact on racial/ethnic disparities beyond the study period. Results suggest the need for implementation studies of longer duration, greater power, and salience to policies and programs that can sustain longterm interventions on a community-wide scale.

The Prevalence of Cardiovascular Risk Factors in Patients with and Without Metabolic Syndrome in Diabetes Mellitus: A Study Based on Rafsanjan Cohort Study

“…In this type of diabetes, there is insulin resistance with secondary hyperinsulinemia and it is often associated with high blood pressure, dyslipidemia, atherosclerosis, and most importantly obesity, especially central obesity. Etiology of MtS consists of separate components of the MtS (such as hypertension, DM, dyslipidemia) causing complex conditions (33). The prevalence of MtS in this study was estimated to be 80%.…”

“…In this study, the prevalence of hypertension in the group without MtS was 15.8% and in the MtS group was 64%. However, the prevalence of hypertension with diabetes varied in different ethnic, racial, and social groups (33). In previous studies, the prevalence of hypertension in patients with diabetes, covering more than 30,000 people in different areas, 70% of diabetic patients have been reported to have hypertension (38).…”

Impact of culturally tailored shared medical appointments on diabetes self-care ability and knowledge in African Americans

“…The SMA model is designed to allow more time for patient education regarding disease prevention and management using a multidisciplinary interprofessional approach which may encourage the development of selfcare skills (Wadsworth et al, 2019). While several different standardized diabetes SMA model programs have been developed, not all of them consider the unique characteristics of the population being served (Rashid et al, 2017;Hopkins DECIDE Program, 2019;Self-Management Resource Center, 2020). In general, the group-care model has shown positive effects on T2DM management as evidenced by improved biophysical health measures; however, the magnitude of these improvements show significant inter-study heterogeneity and may be greatly influenced by program design, provider experience, and population characteristics, with those more closely tailored to the population audience being more successful (Housden et al, 2013;Edelman et al, 2015;Watts et al, 2015;Wadsworth et al, 2019).…”

Diabetes Distress, Medication Taking, Glycaemic Control and Self-Management: Comparing a Minority Migrant Group With Mainstream Society

“…Multidisciplinary integrated team-based approach, structured patient-centred support, and appropriate follow-up mechanisms have led to improvements in diabetes control [16,17]. Pharmacist-led diabetes management program improved the care and outcomes of people with diabetes including ethnic minorities [18,19]. Despite being important for the comprehensive management of T2DM, healthcare providers including pharmacists often fail to screen for or assess DD.…”