There were no differences between the groups in mortality rate , body mass index , blood pressure and lipid profile .
Conclusions Group-based DSME in people with type 2 diabetes results in improvements in clinical , lifestyle and psychosocial outcomes
Background Diabetes self-management education ( DSME ) can be delivered in many forms .
Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other .
assess effects of group-based DSME compared to routine treatment on clinical , lifestyle and psychosocial outcomes in type-2 diabetes patients .
Promotora Diabetes Intervention for Mexican Americans
PURPOSE The purpose of this r and omized controlled trial is to determine the effectiveness of an intervention led by promotoras ( community lay workers ) on the glycemic control , diabetes knowledge , and diabetes health beliefs of Mexican Americans with type 2 diabetes living in a major city on the Texas-Mexico border . METHODS One hundred fifty Mexican American participants were recruited at a Catholic faith-based clinic and r and omized into 2 groups . Personal characteristics , acculturation , baseline A1C level , diabetes knowledge , and diabetes health beliefs were measured . The intervention was culturally specific and consisted of participative group education , telephone contact , and follow-up using inspirational faith-based health behavior change postcards . The A1C levels , diabetes knowledge , and diabetes health beliefs were measured 3 and 6 months postbaseline , and the mean change between the groups was analyzed . RESULTS The 80 % female sample , with a mean age of 58 years , demonstrated low acculturation , income , education , health insurance coverage , and strong Catholicism . No significant changes were noted at the 3-month assessment , but the mean change of the A1C levels , F(1 , 148 ) = 10.28 , P < .001 , and the diabetes knowledge scores , F(1 , 148 ) = 9.0 , P < .002 , of the intervention group improved significantly at 6 months , adjusting for health insurance coverage . The health belief scores decreased in both groups . CONCLUSIONS The intervention result ed in decreased A1C levels and increased diabetes knowledge , suggesting that using promotoras as part of an interdisciplinary team can result in positive outcomes for Mexican Americans who have type 2 diabetes . Clinical implication s and recommendations for future research are suggested
There were no differences between the groups in mortality rate , body mass index , blood pressure and lipid profile .
Conclusions Group-based DSME in people with type 2 diabetes results in improvements in clinical , lifestyle and psychosocial outcomes
Background Diabetes self-management education ( DSME ) can be delivered in many forms .
Group based DSME is widespread due to being a cheaper method and the added advantages of having patient meet and discuss with each other .
assess effects of group-based DSME compared to routine treatment on clinical , lifestyle and psychosocial outcomes in type-2 diabetes patients .