This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .
Supporting Diabetes Self-Care in Underserved Populations
Purpose The purpose of this study was to evaluate the impact of an innovative intervention that utilized a certified medical assistant with specific diabetes training to work with a multidisciplinary diabetes care team to help provide basic diabetes education and self-care support in low-income minority population s with type 2 diabetes . Methods Enrolled participants were r and omized to either the medical assistant coaching ( MAC ) group ( N = 25 ) or the treatment as usual ( TAU ) group ( N = 25 ) . Deidentified data was obtained on a matched no contact control ( NCC ) group ( N = 50 ) . Results Analysis of covariance ( ANCOVA ) comparisons revealed no significant differences between the 3 groups on A1C , but a trend was observed . A1Cs decreased across time for the MAC group , while increasing for the TAU and NCC groups . ANCOVA comparisons also indicated that the MAC group experienced significantly greater increases in perceived empowerment and a larger , although non-significant , reduction in perceived diabetes related problems than the TAU group . Conclusions This r and omized controlled pilot study suggests that the inclusion of a medical assistant self-care coach as part of the diabetes care team holds promise in improving outcomes and should be further examined in a large-scale study
This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .