Journal
DIABETES EDUCATOR
Volume 29, Issue 3, Pages 467-479Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/014572170302900311
Keywords
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Funding
- NCRR NIH HHS [G12RR-03026] Funding Source: Medline
- NIA NIH HHS [AG01004, AG-02-004, P60-AG10415-11] Funding Source: Medline
- NIDDK NIH HHS [R01 DK59527-01] Funding Source: Medline
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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 (A1 C>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 bow best to address this growing public health problem.
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