Vallabh O. Shah|Casey Carroll|Ryan Mals|Donica Ghahate|Jeanette Bobelu|Phillip Sandy|Kathleen Colleran|Ronald M. Schrader|Thomas Faber|Mark R. Burge
A Home-Based Educational Intervention Improves Patient Activation Measures and Diabetes Health Indicators among Zuni Indians
University of New Mexico|University of New Mexico|University of New Mexico|University of New Mexico|University of New Mexico|University of New Mexico|University of New Mexico|University of New Mexico|Pueblo of Zuni|Indian Health Service|University of New Mexico
introduction one three people diagnosed diabetes 2050 proportion likely higher among native americans diabetes control currently suboptimal underserved populations despite plethora new therapies patient empowerment key determinant diabetes control empowerment difficult achieve due resource limitation cultural language health literacy barriers describe homebased educational intervention using community health representatives chrs leading improvement patient activation measures scores clinical indicators diabetes control methods sixty participants type 2 diabetes t2d completed baseline evaluation including physical exam point care poc testing patient activation measure pam survey participants underwent one hour group didactic session led community health representatives chrs subsequently carried monthly homebased educational interventions encourage healthy lifestyles including diet exercise alcohol cigarette avoidance follow 6 months clinical phenotyping pam survey repeated results pam scores increased least one level 35 58 participants 24 participants started higher baseline score change six months intervention mean levels a1c decreased 07 12 fasting blood glucose decreased 240 380 mgdl bmi decreased 15 21 kgm2 total cholesterol decreased 120 280 mgdl triglycerides decreased 520 710 mgdl changes statistically significant p005 conclusion six month chr led communityoriented educational intervention helps inform standards practice management diabetes engages diabetic populations care reduces health disparities underserved population zuni indians trial registration clinicaltrialsgov nct02339311