Hanlin Li, Imama A Naqvi, Kevin Strobino, Sujata Malhotra
Clinical Telepharmacy: Addressing Care Gaps in Diabetes Management for an Underserved Urban Population Using a Collaborative Care Model
Telemedicine journal and e-health : the official journal of the American Telemedicine Association
american indian alaska native aian people high rates diabetes limited access nutrition education eat wcie diabetes nutrition education program culturally adapted aian adults analysis designed evaluate reliability validity items developed measure diabetes nutrition selfefficacy ie confidence one engage specific behaviors diabetes nutrition behavior among participants wcie program aian adults study secondary analysis data randomized controlled trial designed evaluate wcie program aian adults baseline data used assess reliability validity selfefficacy behavior items collected via survey due covid19 safety protocols intervention conducted via zoom survey clinical data collected home participants study conducted january december 2021 five aianserving health care programs oklahoma illinois north carolina california new york aian adults type 2 diabetes spoke english internet access eligible sixty participated analyses examined validity reliability diabetes nutrition selfefficacy behavior items test reliability internal consistency factor structures scales examined evaluate convergent validity pearson correlations computed examine association selfefficacy behavior measures clinical indicators ie body mass index blood pressure hemoglobin a1c two selfefficacy factors identified showed strong internal consistency cronbach alphas 085 mcdonald omegas 088 directly associated diabetes nutrition behavior ps 0001 factor assessing confidence using diabetes plate inversely associated a1c pearson correlation 032 p 00243 behavior measure capturing healthy nutrition behavior showed strong internal consistency alpha 089 omega 092 inversely associated a1c pearson correlation 038 p 00057 diabetes nutrition selfefficacy behavior items developed wcie program aian adults valid reliable items facilitate rigorous consistent evaluation aian wcie program