Feasibility and Impact of of "ABC's of Diabetes" Self Management Education (DSME) Program for African Americans at an Urban Public Library on A1C, Lipid Lowering Agent Prescriptions and Emergency Department Visits
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 360
- 试验地点
- 1
- 主要终点
- Improvement in the percent of subjects correctly identifying guideline-recommended treatment targets for the "ABC's of Diabetes", where A = A1C < 7%; B = BP <130/80mmHg and; and C = LDL-C < 100mg/dl.
研究概览
简要总结
A concise diabetes self-management education (DSME) program on the "ABCs of Diabetes" will be placed in an urban public library to assess the feasibility of using this community setting for the delivery of health care education in an urban African American population. Impact on knowledge of, prescriptions for, and control of blood sugar (A1C), blood pressure (BP) and LDL cholesterol (LDL-C)before and after participation in the program will be assessed. We will also examine the frequency of emergency department (ED) visits and hospitalizations for uncontrolled diabetes at 6 months post-DSME intervention.
详细描述
A free, community-based Diabetes Learning Center was placed in a public library. Adults with diabetes (N=360) consented to participate in this prospective cohort study with historic self-controls. The small group, interactive DSME (two 2-1/2 hour classes) focused on improving CVD risk factors and enabling communication with the primary care physician. Knowledge, prescriptions, diabetes-related testing and clinical outcomes were assessed.
"ABCs of Diabetes" DSME Program
Class #1: A1C, Aspirin & Blood Pressure
A. Curriculum Content Areas:
- What is diabetes?
- A1C and blood glucose targets
- Diabetes medications
- Hypoglycemia
- Managing Blood Pressure
- Taking your medications
- Preventing vascular complications
- Monitoring your diabetes health
- "How to Talk to your Doctor"
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of Diabetes Mellitus, type 1 or type 2 for at least one month prior to taking the first educational class.
- •18 years old or older.
- •Females and Males
- •All ethnic groups.
- •Must be able to read and speak English.
- •Must be willing to sign informed consent to participate in the research component of the program.
- •Plan on living in the District of Columbia for the next 6 to 8 months.
- •Willing to attend 2 core interactive education sessions within a 6-week period.
- •Willing to have a fingerstick performed to obtain blood for A1C and cholesterol determinations prior to and 6 months after completion of the educational sessions.
- •Willing to attend both a pre- and a post-study outcomes data collection visit, each of which will last approximately 1 - 1 ½ hours.
- •Ability and willingness to adhere to all study requirements.
- •Participant must have active health insurance coverage or self pay and have regular visits to their primary care physician. Interested parties who do not have health insurance will be referred to DHHS for assistance in applying for Medicare or Medicaid when applicable.
- •Have access to telephone in residence to receive reminder calls for up upcoming visits.
排除标准
- •Non-English speaking.
- •Untreated mental illness.
- •History of substance abuse or alcohol abuse in the past 12 months.
- •Individuals participating in a drug research study.
- •Presence of concomitant condition or circumstances which, in the opinion of the investigator, could interfere with participation in the study, glycemic control or interpretation of the data collected. (e.g. active malignance; HIV/AIDS)
- •Chronic concomitant use of oral steroids.
研究组 & 干预措施
Diabetes Self-Management Education
Education intervention with historic self-controls.
干预措施: Diabetes Self-Management Education (Behavioral)
结局指标
主要结局
Improvement in the percent of subjects correctly identifying guideline-recommended treatment targets for the "ABC's of Diabetes", where A = A1C < 7%; B = BP <130/80mmHg and; and C = LDL-C < 100mg/dl.
时间窗: 6 months following program completion
次要结局
- increase the percentage of subjects taking medications for A1C, BP and LDL-C management and aspirin;(6 months following DSME program completion)
- increase percentage of patients with A1C, BP and LDL-C at recommended targets;(6 months following program completion)
- increase scores on the diabetes self-efficacy scale (DES);(6 months following DSME program completion)
- Decrease the percentage of participants with self-reported ED visits and hospitalizations for severe hypoglycemia and hyperglycemia.(6 months following DSME program completion)
研究者
Michelle Magee
Professor of Medicine, Georgetown University School of Medicine
Medstar Health Research Institute