Kerri L. Cavanaugh|Kenneth A. Wallston|Tebeb Gebretsadik|Ayumi Shintani|Mary Margaret Huizinga|Dianne Davis|Rebecca Gregory|Robb Malone|Michael Pignone|Darren A. DeWalt|Tom A. Elasy|Russell L. Rothman
Addressing Literacy and Numeracy to Improve Diabetes Care
Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Johns Hopkins Medicine|Johns Hopkins University|Vanderbilt University|Vanderbilt University|University of North Carolina at Chapel Hill|University of North Carolina Health Care|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Vanderbilt University|VA Tennessee Valley Healthcare System|Vanderbilt University|VA Tennessee Valley Healthcare System
diabetic patients lower literacy numeracy skills greater risk poor diabetes outcomes study evaluated impact providing literacy numeracysensitive diabetes care within enhanced diabetes care program a1c diabetes outcomesin two randomized controlled trials enrolled 198 adult diabetic patients recent a1c or70 referred participation enhanced diabetes care program 3 months control patients received care existing enhanced diabetes care programs whereas intervention patients received enhanced programs also addressed literacy numeracy institution intervention providers received health communication training used interactive diabetes literacy numeracy education toolkit patients a1c measured 3 6 months followup secondary outcomes included selfefficacy selfmanagement behaviors treatment satisfactionat 3 months intervention control patients significant improvements a1c baseline intervention 150 95 ci 180 102 control 080 110 030 adjusted analysis greater improvement a1c intervention group control group p 003 6 months differences a1c intervention control groups selfefficacy improved baseline groups significant differences found selfmanagement behaviors satisfactiona literacy numeracyfocused diabetes care program modestly improved selfefficacy glycemic control compared standard enhanced diabetes care difference attenuated conclusion intervention