P A McElfish1, C R Long1, Z Bursac2, A J Scott3, H C Felix4, T K Schulz1, M A Worley1, B Rowland3. 1. College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. 2. Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA. 3. Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA. 4. Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Abstract
AIMS: A randomized control trial (RCT) of diabetes self-management education (DSME), undertaken by a community-based participatory research (CBPR) partnership between the University of Arkansas for Medical Sciences (UAMS) and the Marshallese community in Arkansas. The RCT examined the effect of hours of intervention exposure, with the hypothesis that increased exposure is one reason the Adapted-Family DSME was found to be more effective than the Standard DSME. METHODS: Some 221 Marshallese with type2 diabetes were randomized to an Adapted-Family DSME group (in-home setting) (n = 110) or a Standard DMSE group (community setting) (n = 111). The Adapted-Family DSME included 10 h of education that covered the core self-care elements recommended by the American Diabetes Association (ADA) and American Association of Diabetes Educators' (AADE) recommendations. The Standard DSME included 10 h of intervention with all ADA and AADE core elements. RESULTS: The number of hours of intervention exposure in the Adapted-Family DSME arm (mean = 8.0; median = 10.0) was significantly higher than the number of hours of intervention received in the Standard DSME arm (mean = 1.5; median = 0.0). As hypothesized, higher exposure was associated with a significant reduction in HbA1c in a model including only study arm and exposure (P = 0.01), and in a model including study arm, exposure, and all demographic variables (P = 0.046). CONCLUSIONS: This finding is consistent with previous reviews that showed increased exposure to DSME produced improved glycaemic control and ≥ 10 h of DSME produces clinically meaningful reductions in HbA1c .
RCT Entities:
AIMS: A randomized control trial (RCT) of diabetes self-management education (DSME), undertaken by a community-based participatory research (CBPR) partnership between the University of Arkansas for Medical Sciences (UAMS) and the Marshallese community in Arkansas. The RCT examined the effect of hours of intervention exposure, with the hypothesis that increased exposure is one reason the Adapted-Family DSME was found to be more effective than the Standard DSME. METHODS: Some 221 Marshallese with type 2 diabetes were randomized to an Adapted-Family DSME group (in-home setting) (n = 110) or a Standard DMSE group (community setting) (n = 111). The Adapted-Family DSME included 10 h of education that covered the core self-care elements recommended by the American Diabetes Association (ADA) and American Association of Diabetes Educators' (AADE) recommendations. The Standard DSME included 10 h of intervention with all ADA and AADE core elements. RESULTS: The number of hours of intervention exposure in the Adapted-Family DSME arm (mean = 8.0; median = 10.0) was significantly higher than the number of hours of intervention received in the Standard DSME arm (mean = 1.5; median = 0.0). As hypothesized, higher exposure was associated with a significant reduction in HbA1c in a model including only study arm and exposure (P = 0.01), and in a model including study arm, exposure, and all demographic variables (P = 0.046). CONCLUSIONS: This finding is consistent with previous reviews that showed increased exposure to DSME produced improved glycaemic control and ≥ 10 h of DSME produces clinically meaningful reductions in HbA1c .
Authors: Pearl A McElfish; Jennifer A Andersen; Brett Rowland; Jack Niedenthal; Henry Otuafi; Sheldon Riklon; Ainrik George; Edlen Anzures; James Selig; Wana Bing; Holly Felix Journal: Hawaii J Health Soc Welf Date: 2021-10
Authors: Jennifer A Andersen; Holly Felix; James Selig; Brett Rowland; Wana Bing; Jonell Hudson; Jack Niedenthal; Henry Otuafi; Sheldon Riklon; Edlen Azures; Ainrik George; Pearl A McElfish Journal: Contemp Clin Trials Commun Date: 2021-07-30
Authors: Pearl A McElfish; Christopher R Long; Aaron J Scott; Jonell S Hudson; Lauren Haggard-Duff; Angel Holland; Thomas K Schulz; Ralph O Wilmoth; James P Selig Journal: J Prim Care Community Health Date: 2020 Jan-Dec