Culturally tailored intervention for African Americans with type 2 diabetes administered by a nurse case manager and community health worker reduces emergency room visits

2010 ◽  
Vol 13 (2) ◽  
pp. 51-52 ◽  
Author(s):  
Anne H Skelly
Keyword(s):  
Type 2 Diabetes ◽  
African Americans ◽  
Emergency Room ◽  
Health Worker ◽  
Case Manager ◽  
Emergency Room Visits ◽  
Tailored Intervention ◽  
Nurse Case Manager ◽  
Culturally Tailored

scholarly journals Culturally Tailored Intervention for Rural African Americans With Type 2 Diabetes

2008 ◽  
Vol 34 (5) ◽  
pp. 854-865 ◽  
Author(s):  
Sharon W. Utz ◽  
Ishan C. Williams ◽  
Randy Jones ◽  
Ivora Hinton ◽  
Gina Alexander ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
African Americans ◽  
Tailored Intervention ◽  
Culturally Tailored

scholarly journals Examining the impact of mental disease on type 2 diabetes outcomes: results from the EpiChron Cohort

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Guerrero Fernández de Alba ◽  
A Gimeno-Miguel ◽  
B Poblador Plou ◽  
K Bliek Bueno ◽  
J Carmona Pirez ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Substance Abuse ◽  
Early Detection ◽  
Health Outcomes ◽  
Emergency Room ◽  
Mental Disease ◽  
Emergency Room Visits ◽  
Mental Diseases ◽  
The Impact

Abstract Background Type 2 diabetes mellitus (T2D) is often accompanied by other chronic diseases, including mental diseases (MD). This work aimed at studying MD prevalence in T2D patients and analyse its impact on T2D health outcomes. Methods Retrospective, observational study of individuals of the EpiChron Cohort aged 18 and over with prevalent T2D at baseline (2011) in Aragón, Spain (n = 63,365). Participants were categorized by the existence or absence of MD, defined as the presence of depression, anxiety, schizophrenia or substance abuse. MD prevalence was calculated, and a logistic regression model was performed to analyse the likelihood of the four studied health outcomes (4-year all-cause mortality, all-cause hospitalization, T2D-hospitalization, and emergency room visits) based on the presence of each type of MD, after adjusting by age, sex and number of comorbidities. Results Mental diseases were observed in 19% of T2D patients, with depression being the most frequent condition, especially in women (20.7% vs. 7.57%). Mortality risk was significantly higher in patients with MD (odds ratio -OR- 1.24; 95% confidence interval -CI- 1.16-1.31), especially in those with substance abuse (OR 2.18; 95% CI 1.84-2.57) and schizophrenia (OR 1.82; 95% CI 1.50-2.21). The presence of MD also increased the risk of T2D-hospitalization (OR 1.51; 95% CI 1.18-1.93), emergency room visits (OR 1.26; 95% CI 1.21-1.32) and all-cause hospitalization (OR 1.16; 95% CI 1.10-1.23). Conclusions The high prevalence of MD among T2D patients, and its association with health outcomes, underscores the importance of providing integrated, person-centred care and early detection of comorbid mental diseases in T2D patients to improve disease management and health outcomes. Key messages Comprehensive care of T2D should include specific strategies for prevention, early detection, and management of comorbidities, especially mental disorders, in order to reduce their impact on health. Substance abuse was the mental disease with the highest risk of T2D-hospitalization, emergency room visits and all-cause hospitalization.

scholarly journals A Brief Culturally Tailored Intervention for Puerto Ricans With Type 2 Diabetes

2010 ◽  
Vol 37 (6) ◽  
pp. 849-862 ◽  
Author(s):  
Chandra Y. Osborn ◽  
K.R. Amico ◽  
Noemi Cruz ◽  
Ann A. O'Connell ◽  
Rafael Perez-Escamilla ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Puerto Ricans ◽  
Tailored Intervention ◽  
Culturally Tailored

scholarly journals Preliminary engagement of a patient advisory board of African American community members with type 2 diabetes in a peer-led medication adherence intervention

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Olayinka O. Shiyanbola ◽  
Betty L. Kaiser ◽  
Gay R. Thomas ◽  
Adati Tarfa
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
African Americans ◽  
Main Body ◽  
Improve Medication Adherence ◽  
Intervention Delivery ◽  
Culturally Tailored ◽  
Negative Beliefs ◽  
Adherence Intervention

Abstract Background The Peers Supporting Health Literacy, Self-efficacy, Self-Advocacy, and Adherence (Peers LEAD) program is a culturally tailored educational-behavioral 8-week intervention that addressed psychosocial and sociocultural barriers to diabetes medication adherence in African Americans. A brief 3-week version of the Peers LEAD intervention used a community engagement approach to examine the feasibility and acceptability of the intervention amongst patient stakeholders. Main body African Americans who were adherent to their diabetes medicines were paired with those who were non-adherent to their medicines. Together, they participated in the group and phone-based medication adherence intervention. Input from this brief intervention was important for the design of the remainder weeks of the 8-week program. The intervention targeted negative beliefs about diabetes, use of diabetes medicines, and offering culturally tailored peer support to improve medication adherence in African Americans. To receive input in the development and implementation of the program, we worked with community advisors and a peer ambassador board of African Americans who were adherent to their diabetes medicines. The peer ambassador board and community advisors reviewed intervention materials to ensure they were understandable and appropriate for the community. As well, they provided feedback on the process for intervention delivery. Conclusion The active engagement of the peer ambassador board and community advisors led to a revised intervention process and materials for a medication adherence program for African Americans with type 2 diabetes.

scholarly journals A Culturally Tailored Community Health Worker Intervention Leads to Improvement in Patient-Centered Outcomes for Immigrant Patients With Type 2 Diabetes

2018 ◽  
Vol 36 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Nadia S. Islam ◽  
Laura C. Wyatt ◽  
M.D. Taher ◽  
Lindsey Riley ◽  
S. Darius Tandon ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Patient Centered ◽  
Culturally Tailored

scholarly journals What did the community health worker do that was helpful? Perceptions from patients with type 2 diabetes

2019 ◽  
Author(s):  
Connie H Yan ◽  
Aida Rodriguez ◽  
Ben S Gerber ◽  
Lisa K Sharp
Keyword(s):  
Type 2 Diabetes ◽  
African Americans ◽  
Community Health ◽  
Health Worker ◽  
Community Health Worker ◽  
Summative Evaluation ◽  
The Mean ◽  
Hispanic Latinos ◽  
Racial Ethnic

Abstract Background: Evidence supporting the effectiveness of community health worker (CHW) programs in improving type 2 diabetes mellitus (T2DM) outcomes is mixed. CHWs provide numerous activities; although, it is not clear what is effective or considered helpful by patients. This summative evaluation reports on patients’ perspectives of CHW activities offered as part of a larger randomized controlled trial of a team-based diabetes-management program. Methods: Following one-year of access to CHW support, 192 racial/ethnic minorities with uncontrolled T2DM were provided a two-item summative evaluation that assessed how helpful they found the CHWs, on a ten-point scale, along with an open-ended question about specific activities they found most helpful. Results: Patients’ mean age was 57 years, and 25% Hispanic/Latino, of which 47% preferred Spanish. The mean number of CHW visits was higher among Hispanics/Latinos compared to African-Americans (9.8, standard deviation [SD] 5.4 vs. 5.0, SD 4.7; p<0.001); however, perceived helpfulness was similar for both groups (Hispanic/Latinos 9.2, SD 1.5 vs. African-Americans 9.1, SD 1.9). Although the frequency of CHW visits was similar between Spanish- and English-speaking Hispanic/Latinos, the mean helpfulness rating was higher for Spanish-speakers than for English-speakers (9.6, SD 0.8 vs. 8.8, SD 1.8; p=0.05). After qualitative coding of the list of helpful activities, four major themes emerged: social support, health education, communication with the healthcare team and care coordination. Conclusion: This is among the first reports of differential CHW engagement within racial/ethnic groups. Additional research is needed to understand the relationship between CHW activities and mechanisms influencing outcomes.

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