Leonard Jack, Jr., PhD, MS; Leandris Liburd, MPH; Tirzah Spencer, PhD, MPH; Collins O. Airhihenbuwa, PhD, MPH
Acknowledgments: The authors thank Susan Norris, MD, MPH, and Dawn Satterfield, PhD, MSN, RN, CDE, for their reviews and comments on this manuscript.
Potential Financial Conflicts of Interest: None disclosed.
Requests for Single Reprints: Leonard Jack Jr., PhD, MS, Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Mailstop K-10, 4770 Buford Highway NE, Atlanta, GA 30341; e-mail, firstname.lastname@example.org.
Current Author Addresses: Dr. Jack: Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Mailstop K-10, 4770 Buford Highway, NE, Atlanta, GA 30341.
Dr. Liburd: Community Health and Program Services Branch, Division of Adult and Community Health, Centers for Disease Control and Prevention, Mailstop K-30, 4700 Buford Highway, NE, Atlanta, GA 30341.
Dr. Spencer: Stanford Prevention Research Center, Stanford University School of Medicine, Hoover Pavilion, Room N229, 211 Quarry Road, Stanford, CA 94305-5705.
Dr. Airhihenbuwa: Department of Biobehavioral Health, College of Health and Human Development, The Pennsylvania State University, University Park, PA 16802.
Eight studies included in a recent systematic review of the efficacy of diabetes self-management education were qualitatively reexamined to determine the presence of theoretical frameworks, methods used to ensure cultural appropriateness, and the quality of the instrument. Theoretical frameworks that help to explain complex pathways that produce health outcomes were lacking; culture indices were not incorporated into diabetes self-management education; and the instruments used to measure outcomes were inadequate. We provide recommendations to improve research on diabetes self-management education in community settings through use of a contextual framework that encourages targeting multiple levels of influence—individual, family, organizational, community, and policy.
Analytical framework for diabetes self-management education interventions (DSME).American Journal of Preventive Medicine
A summary of effect measure (i.e., difference between the intervention and comparison groups) was calculated for outcomes of interest. Absolute and relative differences were presented for outcomes with consistent measurement scales and relative differences for outcomes with consistent measurement scales. Pooled estimates of effect were calculated if there was sufficient number of studies with comparable outcomes and if exploratory data analysis revealed potentially diverse results in the body of literature, or if confidence intervals frequently overlapped zero. The Community Guide rules evidence characterized effectiveness as strong, sufficient, or insufficient on the basis of the number of available studies, the suitability of study designs for evaluating effectiveness, the quality of execution, the consistency of the results and the effect sizes (2).
Table. Diabetes Self-Management in Community Settings
Cultural, environmental, and biomedical synthesis of diabetes self-management.The Diabetes Educator
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Jack L, Liburd L, Spencer T, Airhihenbuwa CO. Understanding the Environmental Issues in Diabetes Self-Management Education Research: A Reexamination of 8 Studies in Community-Based Settings. Ann Intern Med. 2004;140:964-971. doi: 10.7326/0003-4819-140-11-200406010-00038
Download citation file:
Published: Ann Intern Med. 2004;140(11):964-971.
Cardiology, Coronary Risk Factors, Diabetes, Endocrine and Metabolism.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only