A systematic review of diabetes self-care interventions for older, African American, or Latino adults

Sarkisian, Catherine A.; Brown, Arieen F.; Norris, Keith C.; Wintz, Ruth L.; Managione, Carol M.

doi:10.1177/014572170302900311

Cited by 114Diabetes Management and EducationDiabetes Management and ResearchDiabetes Treatment and Management

A systematic review of diabetes self-care interventions for older, African American, or Latino adults

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Sarkisian, Catherine A., Brown, Arieen F., Norris, Keith C., Wintz, Ruth L., Managione, Carol M.·2003·The Diabetes Educator

DOI 10.1177/014572170302900311

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Abstract

PURPOSE: This study systematically identified and examined published self-care interventions designed to improve glycemic control or quality of life (QoL) among older, African American, or Latino adults. METHODS: Six electronic databases were searched. Eligible publications were those that described an intervention to change knowledge, beliefs, or behavior among adults with diabetes who were either older than 55 years, African American, or Latino, and that measured the outcomes of glycemic control or QoL. RESULTS: Twelve studies met the inclusion criteria, of which 8 were randomized controlled trials (RCTs). Of the 8 RCTs, improved glycemic control was reported in the intervention arm of 5 RCTs compared with the control arm. Of the 4 RCTs that examined QoL, improved QoL was reported in the intervention arm of 1 study. Characteristics of successful interventions included poor glycemic control at baseline (A1C > 11%), cultural or age-tailoring the intervention, use of group counseling or support, and involvement of spouses and adult children. CONCLUSIONS: Large-scale clinical trials designed according to cultural and age criteria specific for older Latinos and African Americans with diabetes are needed to determine how best to address this growing public health problem.

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Diabetes self-management education and support interventions that were age appropriate were associated with better outcomes.
“Better outcomes were reported for DSMES interventions that were more than 10 h over the course of 6-12 months (20), included ongoing support (14,32), were culturally (33)(34)(35) and age appropriate (36,37), were tailored to individual needs and preferences, addressed psychosocial issues, and incorporated behavioral strategies (15,26,38,39).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [37]

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Authors: Sarkisian, C. A., Brown, A. F., Norris, K. C., Wintz, R. L., & Managione, C. M.
Affiliations: UCIA Department of Medicine, Division of Geriatrics, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095-1687
Division of General Internal Medicine and Health Services Research, Los Angeles, CA
University of California, Los Angeles (US)
Division of Nephrology, Los Angeles, CA.
Division of Geriatrics, Los Angeles, CA; Division of General Internal Medicine and Health Services Research, Los Angeles, CA
Corresponding author: Sarkisian, Catherine A.
ORCID: Sarkisian, Catherine A.
Norris, Keith C.
Venue: The Diabetes Educator
Publisher: SAGE Publications
Published: 2003-05
Volume: 29
Issue: 3
Pages: 467-479
ISSN: 0145-7217 (ISSN-L)
1554-6063
DOI: 10.1177/014572170302900311
OpenAlex: W2000848297
Cited by: 114
References: 35
Citations by year: 2025: 3 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 7 · 2014: 4 · 2013: 9 · 2012: 10
FWCI: 0.48
Type: journal article
Language: en
Open access: green
escholarship.org
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Science of Diabetes Self-Management and Care (publishedVersion)
PubMed (publishedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: National Institutes of Health (5r01dk059527-04)
National Institute on Aging (AG-02-004, AG01004, P60AG010415, P60-AG10415-11, K12AG001004)
National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK59527-01)
National Center for Research Resources (G12 RR 03026, G12RR003026)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords: older adults, African American adults, Latino adults, glycemic control, quality of life, cultural tailoring, group counseling, family involvement, HbA1c
MeSH terms: Aged, Black or African American, Diabetes Mellitus, Hispanic or Latino, Humans, Quality of Life, Self Care, Randomized Controlled Trials as Topic, Patient-Centered Care, Needs Assessment

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A systematic review of diabetes self-care interventions for older, African American, or Latino adults

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