المؤلفون: Gretchen A. Piatt, Claudia Schwenzer, Robin Nwankwo, Martha M. Funnell, Jaclynn Hawkins, Katherine A. Kloss, Fonda N. Smith

المصدر: BMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
BMC Public Health

مصطلحات موضوعية: Gerontology, Male, Diabetes self-management, medicine.medical_specialty, Michigan, Health Behavior, Psychological intervention, 030209 endocrinology & metabolism, Type 2 diabetes, Diabetes social support, Peer Group, law.invention, 03 medical and health sciences, Study Protocol, 0302 clinical medicine, Randomized controlled trial, law, Diabetes management, Intervention (counseling), Epidemiology, medicine, Diabetes Mellitus, Humans, 030212 general & internal medicine, Peer leaders, Randomized Controlled Trials as Topic, business.industry, Public health, Self-Management, lcsh:Public aspects of medicine, Public Health, Environmental and Occupational Health, Gender, Men, lcsh:RA1-1270, medicine.disease, Female, Biostatistics, business

الوصف: Background Black men are more likely to be diagnosed with type 2 diabetes (T2D) compared to non-Hispanic White men, and this disparity increases among men over the age of 55. A growing body of literature demonstrates the critical role of gender in the management of health behaviors such as T2D and shows that male gender norms can conflict with healthy behaviors. These studies suggest that tailoring diabetes self-management interventions to address the needs of Black men may be critical to helping them to achieve optimal health outcomes. Further, our own research on Blacks with T2D found gender disparities in participation in diabetes interventions, with males participating at significantly lower rates than females. Peer leaders are trained lay individuals who are used to provide ongoing diabetes self-management support to people with diabetes, particularly in minority communities. However, despite studies showing that diabetes management interventions using peer leaders have been successful, the majority of peer leaders as well as the participants in those studies are women. The limited studies to date suggest that Black men with T2D prefer peer-led, male-to-male T2D programs, however, this research consists primarily of nonrandomized, small sample feasibility studies calling for additional studies to establish the efficacy of these approaches. The proposed study will develop and preliminarily validate the effectiveness of an adapted peer leader diabetes self-management support (PLDSMS) intervention designed to improve diabetes-related lifestyle and self-management behaviors in Black men (over 55) with T2D. Method We propose to tailor an existing intervention by 1) our using male peers and 2) modifying the peer leader training content to focus on material appropriate for men. The proposed study includes a developmental phase (development of the intervention with expert feedback, followed by feasibility testing with Black men) and a validation phase [randomized clinical trial (RCT)]. Discussion If successful, this study will lead to the development and dissemination of an intervention that will address the unique needs of Black men with T2D, helping them to achieve optimal diabetes self-management and health outcomes. Trial registration Registered at ClinicalTrials.gov with an ID NCT04760444 on February 17, 2021

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5894b73dd68ac3af5c7e4e6def16e9c2Test
https://doaj.org/article/5ce01f67faf64cf4b94cf998c2cc75e2Test

المؤلفون: Bas, Geboers, Julii S, Brainard, Yoon K, Loke, Carel J M, Jansen, Charlotte, Salter, Sijmen A, Reijneveld, Andrea F, de Winter, Andrea F, deWinter

المساهمون: Public Health Research (PHR)

المصدر: BMC Public Health
BMC Public Health, 15(1):903. BMC

مصطلحات موضوعية: Gerontology, Male, NONADHERENCE, Pediatrics, medicine.medical_specialty, STRATEGIES, IMPACT, DIABETES SELF-MANAGEMENT, Population, Health Behavior, Psychological intervention, Health literacy, PsycINFO, CINAHL, COMMUNICATION, 030204 cardiovascular system & hematology, Cochrane Library, 03 medical and health sciences, 0302 clinical medicine, Medicine, Humans, 030212 general & internal medicine, CARE PATIENTS, education, Aged, education.field_of_study, OUTCOMES, GLAUCOMA MEDICATION ADHERENCE, HOSPITAL DISCHARGE, business.industry, Public health, Public Health, Environmental and Occupational Health, Health Literacy, Systematic review, Patient Compliance, Female, Erratum, business, BEHAVIOR, Research Article

الوصف: Background Low health literacy is a common problem among older adults. It is often suggested to be associated with poor adherence. This suggested association implies a need for effective adherence interventions in low health literate people. However, previous reviews show mixed results on the association between low health literacy and poor adherence. A systematic meta-review of systematic reviews was conducted to study the association between health literacy and adherence in adults above the age of 50. Evidence for the effectiveness of adherence interventions among adults in this age group with low health literacy was also explored. Methods Eight electronic databases (MEDLINE, ERIC, EMBASE, PsycINFO, CINAHL, DARE, the Cochrane Library, and Web of Knowledge) were searched using a variety of keywords regarding health literacy and adherence. Additionally, references of identified articles were checked. Systematic reviews were included if they assessed the association between health literacy and adherence or evaluated the effectiveness of interventions to improve adherence in older adults with low health literacy. The AMSTAR tool was used to assess the quality of the included reviews. The selection procedure, data-extraction, and quality assessment were performed by two independent reviewers. Seventeen reviews were selected for inclusion. Results Reviews varied widely in quality. Both reviews of high and low quality found only weak or mixed associations between health literacy and adherence among older adults. Reviews report on seven studies that assess the effectiveness of adherence interventions among low health literate older adults. The results suggest that some adherence interventions are effective for this group. The interventions described in the reviews focused mainly on education and on lowering the health literacy demands of adherence instructions. No conclusions could be drawn about which type of intervention could be most beneficial for this population. Conclusions Evidence on the association between health literacy and adherence in older adults is relatively weak. Adherence interventions are potentially effective for the vulnerable population of older adults with low levels of health literacy, but the evidence on this topic is limited. Further research is needed on the association between health literacy and general health behavior, and on the effectiveness of interventions. Electronic supplementary material The online version of this article (doi:10.1186/s12889-015-2251-y) contains supplementary material, which is available to authorized users.

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a08deda0e3b39df129d243adc1bbe25Test
http://europepmc.org/articles/PMC4573285Test

المؤلفون: Fatma G. Huffman, Marcia H. Magnus, Daniel J. Feaster, Marianna K Baum, Sandra L. Lobar, Joan A. Vaccaro

المصدر: BMC Public Health
BMC Public Health, Vol 12, Iss 1, p 185 (2012)

مصطلحات موضوعية: Male, Diabetes self-management, Gerontology, medicine.medical_specialty, National Health and Nutrition Examination Survey, Health Behavior, Ethnic group, Black People, Race/ethnicity, White People, Black non-Hispanic, Patient Education as Topic, Medical advice, Surveys and Questionnaires, Diabetes mellitus, Mexican Americans, Outcome Assessment, Health Care, Weight management, Health care, Diabetes Mellitus, medicine, Humans, Healthcare Disparities, Referral and Consultation, Minorities, Physician-Patient Relations, business.industry, lcsh:Public aspects of medicine, Public health, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Middle Aged, Nutrition Surveys, medicine.disease, Health Surveys, United States, Self Care, Logistic Models, Social Class, Family medicine, Female, Biostatistics, business, Research Article, Mexican-American

الوصف: Background Diabetes has reached epidemic proportions in the United States, particularly among minorities, and if improperly managed can lead to medical complications and death. Healthcare providers play vital roles in communicating standards of care, which include guidance on diabetes self-management. The background of the client may play a role in the patient-provider communication process. The aim of this study was to determine the association between medical advice and diabetes self care management behaviors for a nationally representative sample of adults with diabetes. Moreover, we sought to establish whether or not race/ethnicity was a modifier for reported medical advice received and diabetes self-management behaviors. Methods We analyzed data from 654 adults aged 21 years and over with diagnosed diabetes [130 Mexican-Americans; 224 Black non-Hispanics; and, 300 White non-Hispanics] and an additional 161 with 'undiagnosed diabetes' [N = 815(171 MA, 281 BNH and 364 WNH)] who participated in the National Health and Nutrition Examination Survey (NHANES) 2007-2008. Logistic regression models were used to evaluate whether medical advice to engage in particular self-management behaviors (reduce fat or calories, increase physical activity or exercise, and control or lose weight) predicted actually engaging in the particular behavior and whether the impact of medical advice on engaging in the behavior differed by race/ethnicity. Additional analyses examined whether these relationships were maintained when other factors potentially related to engaging in diabetes self management such as participants' diabetes education, sociodemographics and physical characteristics were controlled. Sample weights were used to account for the complex sample design. Results Although medical advice to the patient is considered a standard of care for diabetes, approximately one-third of the sample reported not receiving dietary, weight management, or physical activity self-management advice. Participants who reported being given medical advice for each specific diabetes self-management behaviors were 4-8 times more likely to report performing the corresponding behaviors, independent of race. These results supported the ecological model with certain caveats. Conclusions Providing standard medical advice appears to lead to diabetes self-management behaviors as reported by adults across the United States. Moreover, it does not appear that race/ethnicity influenced reporting performance of the standard diabetes self-management behavior. Longitudinal studies evaluating patient-provider communication, medical advice and diabetes self-management behaviors are needed to clarify our findings.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6760ff8e150d756793258ced336bd532Test
https://doi.org/10.1186/1471-2458-12-185Test