Improving the implementation of diabetes self-management: findings from the Alliance to Reduce Disparities in Diabetes.

Autor:	Lewis MA; RTI International, Research Triangle Park, NC, USA melewis@rti.org., Williams PA; RTI International, Research Triangle Park, NC, USA., Fitzgerald TM; RTI International, Research Triangle Park, NC, USA., Heminger CL; RTI International, Research Triangle Park, NC, USA., Hobbs CL; RTI International, Research Triangle Park, NC, USA., Moultrie RR; RTI International, Research Triangle Park, NC, USA., Taylor OM; RTI International, Research Triangle Park, NC, USA., Holt S; RTI International, Research Triangle Park, NC, USA., Karns SA; RTI International, Research Triangle Park, NC, USA., Burton JA; RTI International, Research Triangle Park, NC, USA., Kamerow DB; Robert Graham Center for Policy Studies, Washington, DC, USA.
Jazyk:	angličtina
Zdroj:	Health promotion practice [Health Promot Pract] 2014 Nov; Vol. 15 (2 Suppl), pp. 83S-91S.
DOI:	10.1177/1524839914541277
Abstrakt:	To enhance the health and well-being of patients managing type 2 diabetes, the five grantees comprising the Alliance to Reduce Disparities in Diabetes implemented evidence-based approaches to patient self-management education as part of their programs. This article describes strategies implemented by the grantees that may help explain program success, defined as improvement in clinical values and patient-reported outcomes. A process evaluation of grantee programs included interviews and document review at the beginning, midpoint, and end of the Alliance initiative. A total of 97 interviews were conducted over time with 65 program representatives. The Alliance programs served 2,328 people from diverse racial and ethnic backgrounds and provided 36,826 diabetes self-management sessions across the intervention sites. Framework analysis of the interviews identified four key themes that emerged across time and program sites that may help account for program success: empowerment, increasing access and support, addressing local needs and barriers, and care coordination. The overall evaluation findings may help other diabetes self-management programs seeking to translate and implement evidence-based approaches to reduce disparities and enhance patient well-being. (© 2014 Society for Public Health Education.)
Databáze:	MEDLINE
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