Milagros C. Rosal|Barbara C. Olendzki|George Reed|Olga Gumieniak|Jeffrey Scavron|Ira S. Ockene
Diabetes self-management among low-income spanish-speaking patients: A pilot study
University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|University of Massachusetts Chan Medical School|Brigham and Women's Hospital|University of Massachusetts Chan Medical School
background prevalence type 2 diabetes diabetesrelated morbidity mortality higher among lowincome hispanics compared whites however little known effectively promote selfmanagement population purpose objectives first determine feasibility conducting randomized clinical trial innovative selfmanagement intervention improve metabolic control lowincome spanishspeaking individuals type 2 diabetes second obtain preliminary data possible intervention effects methods participants pilot study recruited community health center elder program communitywide database developed community health center collaboration agencies serving community surveying households entire community participants randomly assigned intervention n 15 control n 10 condition assessments conducted baseline 3 months 6 months postrandomization intervention consisted 10 group sessions targeted diabetes knowledge attitudes selfmanagement skills culturally specific literacysensitive strategies intervention used cognitivebehavioral theoretical framework results recruitment rates community health center elder program community registry 48 69 8 respectively completion rates baseline 3month 6month assessments 100 92 92 respectively intervention participant attended average 78 10 sessions group participants showed high adherence intervention activities 93 turned daily logs 80 selfmonitored glucose levels least daily overall group time interaction p 02 indicating group differences glycosylated hemoglobin time estimated glycosylated hemoglobin decrease 3 months intervention group 08 95 confidence intervals 11 05 compared change control group p 02 6 months decrease intervention group remained significant 085 95 confidence intervals 12 05 decrease still significantly different controls p 005 trend toward increased physical activity intervention group compared control group p 11 evidence nonsignificant increase blood glucose selfmonitoring intervention participants control participants adjusting baseline depressive scores oberved significant difference depressive symptoms intervention participants control participants 3month assessment p 02 conclusions lowincome spanishspeaking hispanics receptive participate diabetesrelated research study shows pilottested diabetes selfmanagement program promising warrants conduct randomized clinical trial