Andrea Wallace|Hilary K. Seligman|Terry C. Davis|Dean Schillinger|Connie L. Arnold|Betsy Bryant-Shilliday|Janet K. Freburger|Darren A. DeWalt
Literacy-appropriate educational materials and brief counseling improve diabetes self-management
University of New Mexico|University of California, San Francisco|Louisiana State University Health Sciences Center Shreveport|University of California, San Francisco|Louisiana State University Health Sciences Center Shreveport|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
pilot study evaluated impact providing patients literacyappropriate diabetes education guide accompanied brief counseling designed use primary care provided living diabetes guide brief behavior change counseling 250 english spanish speaking patients type 2 diabetes counseling sessions using collaborative goal setting occurred baseline telephone 2 4 weeks measured patients activation selfefficacy diabetes distress knowledge selfcare baseline 3month followup statistically significant p 0001 clinically important effect sizes 029042 improvements observed participants activation selfefficacy diabetesrelated distress selfreported behaviors knowledge improvements similar across literacy levels spanish speakers experienced greater improvement diabetesrelated distress less improvement selfefficacy levels english speakers diabetes selfmanagement support package combining literacyappropriate patient education materials brief counseling suitable use primary care resulted important shortterm healthrelated psychological behavioral changes across literacy levels coupling literacyappropriate education materials brief counseling primary care settings may effective efficient strategy imparting skills necessary diabetes selfmanagement