John G. Ryan|Terri Jennings|Isabel Vittoria|Mark Fedders
Short and Long-Term Outcomes from a Multisession Diabetes Education Program Targeting Low-Income Minority Patients: A Six-Month Follow Up
University of Miami|University of Miami|University of Miami
diabetes selfmanagement education dsme program offered patients primary care clinic serving lowincome peoplethe purpose analyses presented understand feasibility program effectiveness interventionthe program facilitated nurse licensed dietician data collected baseline class 6 months patients interviewed identify diabetes selfcare behaviors first class fourth class 6 months knowledge related content areas measured class glycosylated hemoglobin hba1c blood pressure weight body mass index bmi collected baseline 6 months medical records reviewed ldl levels comorbidity diabetes management frequencies 2 tests repeated measures tests used analyze datapatients mostly nonhispanic black hispanic 931 mean bmi 3489 kgm2 onehalf 4195 completed program significant improvements observed knowledge related 4 content areas diet p 0001 diabetes management p 0003 monitoring blood glucose p 0001 preventing complications p 0001 among longterm outcomes mean hba1c significantly reduced 082 860 778 p 0007 2667 patients reducing hba1c 70 baseline 7 follow p 0001 patients demonstrated significant improvement readiness improve dietary behaviors p 0016outcomes suggested minority patients high risk poor diabetes outcomes might retained multisession dsme program benefit increasing knowledge diabetes content evaluation necessary determine costeffectiveness intervention