Martha Sajatovic1, Molly Howland1, Douglas Gunzler2, Stephanie W Kanuch3, Kristin A Cassidy4, Richard McCormick5, Mark S Bauer6, Thomas Scheidemantel7, Charles Thomas8, Carol Blixen9, Neal V Dawson2. 1. Neurological and Behavioral Outcomes Center, Case Western Reserve University School of Medicine. 2. Center for Health Care Research and Policy, Case Western Reserve University School of Medicine. 3. MetroHealth Medical Cente. 4. University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine. 5. Center for Health Care Research and Policy, Case Western Reserve University. 6. Department of Psychiatry, Harvard Medical School. 7. Scheidemantel, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine. 8. MetroHealth Medical Center. 9. Neurological and Behavioral Outcomes Center, Case Western Reserve University.
Abstract
OBJECTIVES:Targeted Training in Illness Management (TTIM) focuses on enhancing care engagement for people living with serious mental illness and diabetes. This secondary analysis from a 60-week, randomized controlled trial of TTIM versus treatment as usual evaluated racial subgroup outcomes. METHOD: Demographics, clinical characteristics, and diabetes status were evaluated for those self-identifying as non-Hispanic White, African American, and Hispanic. Longitudinal response to TTIM was evaluated using a multiple domain risk index. Due to their small sample size; those identifying as Hispanic were excluded from this analysis. RESULTS: Non-Hispanic White participants had greater baseline socioeconomic advantages. Baseline risk scores, glycosylated hemoglobin (HbA1c) values, and HbA1c differences over time were similar for African American and non-Hispanic White participants. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: African American participants living with serious mental illness and diabetes receiving TTIM did as well as non-Hispanic White participants. Inclusive approaches that feature peer support and are situated in safety-net health care settings need to be further investigated with respect to potentially impacting health disparities. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
RCT Entities:
OBJECTIVES: Targeted Training in Illness Management (TTIM) focuses on enhancing care engagement for people living with serious mental illness and diabetes. This secondary analysis from a 60-week, randomized controlled trial of TTIM versus treatment as usual evaluated racial subgroup outcomes. METHOD: Demographics, clinical characteristics, and diabetes status were evaluated for those self-identifying as non-Hispanic White, African American, and Hispanic. Longitudinal response to TTIM was evaluated using a multiple domain risk index. Due to their small sample size; those identifying as Hispanic were excluded from this analysis. RESULTS: Non-Hispanic White participants had greater baseline socioeconomic advantages. Baseline risk scores, glycosylated hemoglobin (HbA1c) values, and HbA1c differences over time were similar for African American and non-Hispanic White participants. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: African American participants living with serious mental illness and diabetes receiving TTIM did as well as non-Hispanic White participants. Inclusive approaches that feature peer support and are situated in safety-net health care settings need to be further investigated with respect to potentially impacting health disparities. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Authors: Karon L Phillips; Laurel A Copeland; John E Zeber; Eileen M Stock; Jack Y Tsan; Andrea A MacCarthy Journal: Am J Geriatr Psychiatry Date: 2014-07-30 Impact factor: 4.105
Authors: Martha Sajatovic; Douglas D Gunzler; Stephanie W Kanuch; Kristin A Cassidy; Curtis Tatsuoka; Richard McCormick; Carol E Blixen; Adam T Perzynski; Douglas Einstadter; Charles L Thomas; Mary E Lawless; Siobhan Martin; Corinna Falck-Ytter; Eileen L Seeholzer; Christine L McKibben; Mark S Bauer; Neal V Dawson Journal: Psychiatr Serv Date: 2017-05-15 Impact factor: 3.084
Authors: Stephen J Bartels; Sarah I Pratt; Kim T Mueser; John A Naslund; Rosemarie S Wolfe; Meghan Santos; Haiyi Xie; Erik G Riera Journal: Psychiatr Serv Date: 2014-03-01 Impact factor: 3.084