Shared Medical Appointments: An Innovative Model to Reduce Health Disparities Among Latinxs With Type-2 Diabetes.
West J Nurs Res
; 42(2): 117-124, 2020 02.
Article
en En
| MEDLINE
| ID: mdl-31084287
ABSTRACT
In the United States, diabetes is epidemic. A study of Latinxs with diabetes evaluated a behavioral shared medical appointment (SMA) intervention. This quasi-experimental study included nonrandomized matched control group participants receiving usual care. The nonprobability convenience sample consisted of 90 participants (SMA = 30; control = 60) receiving primary care at an FQHC (Federally Qualified Health Center) clinic. At 6 months, the percentage of participants achieving target A1C goals was greater in the intervention group (59%) than in the control group (31%; χ2 = 4.462, p ≤ .05). In a multiple regression model, the SMA intervention group, compared to the control group had an A1C decline at 3 months of 0.55% (b = - 0.55, t = - 1.48, p=.14) and an A1C decline at 6 months of 0.83% (b= - 0.83, t= - 2.25, p = .03). Therefore, the results showed 3- and 6-month declines that were greater in the SMA group than in the control group. Underserved, underinsured Latinxs in the ALDEA program achieved significant A1C reductions; the program succeeded in empowering Latino patients and improving glycemic control.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Hemoglobina Glucada
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Hispánicos o Latinos
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Diabetes Mellitus Tipo 2
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Disparidades en Atención de Salud
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Proveedores de Redes de Seguridad
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Citas Médicas Compartidas
Límite:
Female
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Humans
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Male
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Middle aged
País/Región como asunto:
America do norte
Idioma:
En
Revista:
West J Nurs Res
Año:
2020
Tipo del documento:
Article
País de afiliación:
Estados Unidos