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Community Interventions to Improve Glycemic Control in African Americans with Type 2 Diabetes: A Systemic Review. Glob J Health Sci 2015 Feb 24;7(5):171-82

Date

07/15/2015

Pubmed ID

26156923

Pubmed Central ID

PMC4803865

DOI

10.5539/gjhs.v7n5p171

Scopus ID

2-s2.0-84946207860   17 Citations

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.

Author List

Smalls BL, Walker RJ, Bonilha HS, Campbell JA, Egede LE

Authors

Jennifer Annette Campbell PhD, MPH Assistant Professor in the Medicine department at Medical College of Wisconsin
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin
Rebekah Walker PhD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

African Americans
Blood Glucose
Community Health Services
Diabetes Mellitus, Type 2
Glycated Hemoglobin A
Health Promotion
Humans