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Diabetes Educ. 2003 May-Jun;29(3):467-79.

A systematic review of diabetes self-care interventions for older, African American, or Latino adults.

Author information

1
The Division of Geriatrics, Department of Medicine, UCLA School of Medicine, Los Angeles, California (Drs Sarkisian and Mangione)
2
The Division of General Internal Medicine and Health Services Research, Department of Medicine, UCLA School of Medicine, Los Angeles, California (Drs Brown and Mangione)
3
The DeĀ­partment of Internal Medicine, Charles Drew School of Medicine (Dr Norris), Los Angeles, CA.
4
The Division of Nephrology, Department of Medicine, UCLA School of Medicine, Los Angeles, California (Dr Wintz)

Abstract

PURPOSE:

This study systematically identified and examined published self-care interventions designed to improve glycemic control or quality of life (QoL) among older, African American, or Latino adults.

METHODS:

Six electronic databases were searched. Eligible publications were those that described an intervention to change knowledge, beliefs, or behavior among adults with diabetes who were either older than 55 years, African American, or Latino, and that measured the outcomes of glycemic control or QoL.

RESULTS:

Twelve studies met the inclusion criteria, of which 8 were randomized controlled trials (RCTs). Of the 8 RCTs, improved glycemic control was reported in the intervention arm of 5 RCTs compared with the control arm. Of the 4 RCTs that examined QoL, improved QoL was reported in the intervention arm of 1 study. Characteristics of successful interventions included poor glycemic control at baseline (A1C > 11%), cultural or age-tailoring the intervention, use of group counseling or support, and involvement of spouses and adult children.

CONCLUSIONS:

Large-scale clinical trials designed according to cultural and age criteria specific for older Latinos and African Americans with diabetes are needed to determine how best to address this growing public health problem.

PMID:
12861963
DOI:
10.1177/014572170302900311
[Indexed for MEDLINE]
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