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Glob J Health Sci. 2015 Feb 24;7(5):171-82. doi: 10.5539/gjhs.v7n5p171.

Community Interventions to Improve Glycemic Control in African Americans with Type 2 Diabetes: A Systemic Review.

Author information

1
Medical University of South Carolina. egedel@musc.edu.

Abstract

PURPOSE:

The purpose of this study was to conduct a systematic review of published community interventions to evaluate different components of community interventions and their ability to positively impact glycemic control in African Americans with T2DM.

METHODS:

Medline, PsychInfo, and CINAHL were searched for potentially eligible studies published from January 2000 through January 2012. The following inclusion criteria were established for publications: (1) describe a community intervention, not prevention; (2) specifically indicate, in data analysis and results, the impact of the community intervention on African American adults, 18 years and older; (3) measure glycemic control (HbA1C) as an outcome measure; and (4) involve patients in a community setting, which excludes hospitals and hospital clinics.

RESULTS:

Thirteen studies out of 9,233 articles identified in the search met the predetermined inclusion criteria. There were 5 randomized control trials and 3 reported improved glycemic control in the intervention group compared to the control group at the completion of the study. Of the 8 studies that were not randomized control trials, 6 showed a statistically significant change in HbA1C.

CONCLUSION:

In general, the community interventions assessed led to significant reductions in HbA1C in African Americans with type 2 diabetes. Community health workers did not have a greater impact on glycemic control in this sample. The findings of this study provides insight for designing community-based interventions in the future, such as including use of multiple delivery methods, consideration of mobile device software, nutritionist educator, and curriculum-based approaches.

PMID:
26156923
PMCID:
PMC4803865
DOI:
10.5539/gjhs.v7n5p171
[Indexed for MEDLINE]
Free PMC Article

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