PMID: 11921415Mar 29, 2002Paper

Reaching those most in need: a review of diabetes self-management interventions in disadvantaged populations

Diabetes/metabolism Research and Reviews
Elizabeth G EakinMondi Mason

Abstract

There has been increased recognition of the importance of developing diabetes self-management education (DSME) interventions that are effective with under-served and minority populations. Despite several recent studies in this area, there is to our knowledge no systematic review or synthesis of what has been learned from this research. An electronic literature search identified five formative evaluations and ten controlled DSME intervention trials focused on under-served (low-income, minority or aged) populations. The RE-AIM (Reach, Efficacy, Adoption, Implementation, Maintenance) evaluation framework was used to evaluate the controlled studies on the dimensions of reach, efficacy, adoption, implementation, and maintenance. Fifty percent of the studies identified reported on the percentage of patients who participated, and the percentages were highly variable. The methodological quality of the articles was generally good and the short-term results were encouraging, especially on behavioral outcomes. Data on adoption (representativeness of settings and clinicians who participate) and implementation were almost never reported. Studies of modalities in addition to group meetings are needed to increase the reach of DSME with under-...Continue Reading

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Citations

Oct 12, 2007·International Journal of Behavioral Medicine·Elizabeth G EakinRussell E Glasgow
Jul 7, 2007·BMJ : British Medical Journal·Angela Coulter, Jo Ellins
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