Feasibility and Impact of "ABCs of Diabetes" Self-Management Education Program at an Urban Public Library

Diabetes Clinical Trial

Official title: Feasibility and Impact of of "ABC's of Diabetes" Self Management Education (DSME) Program for African Americans at an Urban Public Library on A1C, Lipid Lowering Agent Prescriptions and Emergency Department Visits

Status Completed

Clinical Trial Summary

A concise diabetes self-management education (DSME) program on the "ABCs of Diabetes" will be placed in an urban public library to assess the feasibility of using this community setting for the delivery of health care education in an urban African American population. Impact on knowledge of, prescriptions for, and control of blood sugar (A1C), blood pressure (BP) and LDL cholesterol (LDL-C)before and after participation in the program will be assessed. We will also examine the frequency of emergency department (ED) visits and hospitalizations for uncontrolled diabetes at 6 months post-DSME intervention.

Clinical Trial Description

A free, community-based Diabetes Learning Center was placed in a public library. Adults with diabetes (N=360) consented to participate in this prospective cohort study with historic self-controls. The small group, interactive DSME (two 2-1/2 hour classes) focused on improving CVD risk factors and enabling communication with the primary care physician. Knowledge, prescriptions, diabetes-related testing and clinical outcomes were assessed.

"ABCs of Diabetes" DSME Program

Class #1: A1C, Aspirin & Blood Pressure

A. Curriculum Content Areas:

• What is diabetes?

• A1C and blood glucose targets

• Diabetes medications

• Hypoglycemia

• Managing Blood Pressure

• Taking your medications

• Preventing vascular complications

• Monitoring your diabetes health

• "How to Talk to your Doctor"

B. Education strategies & tools

• Role playing from "How To Talk to Your Doctor"

• Ask for test results and how to get to targets

• Prompts to schedule appointments for ADA recommended exams, tests and discuss diabetes with primary care provider

Class #2 Cholesterol and Meal Planning

A. Curriculum Content Areas:

• Managing cholesterol

• Diet, exercise & weight management

• Cholesterol medications

• Smoking cessation

• Family Meal Planning:

consistent carbohydrate

• heart healthy meals

B. Education strategies & tools

• View "Cut the Fat Back" video†

• Interactive portion size & meal planning strategies

• Prompts to query PCP for LDL-C results;

• Flyers with questions to focus PCP on ADA goals † Produced by the Health Promotion Council, Philadelphia PA hpcpa@phmc.org ;

Related Conditions & MeSH terms

• Cardiovascular Disease
• Cardiovascular Diseases
• Diabetes
• Diabetes Mellitus

• NCT number: NCT00822471
• Study type: Interventional
• Source: Medstar Health Research Institute
• Status: Completed
• Phase: N/A
• Start date: January 2003
• Completion date: July 2005