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Advancing Diabetes Self Management: La Clinica de La Raza

An Evidence-Based Practice

Description

The goal of Advancing Diabetes Self Management (ADSM) was to improve health outcomes of low-income Latinos living in Oakland, California who suffer from type 2 diabetes.

ADSM aimed to add two new components to standard care practices: (1) community health workers (CHWs) worked one on one with patients in the clinical setting, and (2) patient-centered counseling using the transtheoretical model of change was utilized. CHWs led or assisted many activities, including support groups, one-on-one telephone counseling, diabetes classes, walking clubs, and a psychoeducational group for depression.

Goal / Mission

The goal of Advancing Diabetes Self Management at La Clinica de La Raza was to improve health outcomes of those suffering from type 2 diabetes.

Results / Accomplishments

An evaluation of the program at La Clinica de La Raza revealed that A1c levels declined significantly from baseline to 6 months (p<0.015) and again from baseline to 1 year (p<0.004).

About this Promising Practice

Organization(s)
La Clinica de La Raza
Primary Contact
Joan Thompson
Preventive Medicine Department
1515 Fruitvale Avenue
Oakland, CA 94601
jthompson@laclinica.org
http://www.diabetesinitiative.org/programs/DILaCli...
Topics
Health / Diabetes
Organization(s)
La Clinica de La Raza
Source
The Robert Wood Johnson Foundation
Date of publication
2007
Date of implementation
Nov 2003
Geographic Type
Urban
Location
Oakland, CA
For more details
http://tde.sagepub.com/cgi/content/abstract/33/Sup...
Target Audience
Adults, Racial/Ethnic Minorities
Additional Audience
people with type 2 diabetes

Related Promising Practices

  1. Methodist Germantown Diabetes-Self Management Education & Support (DSMES) Service
  2. Advancing Diabetes Self Management
  3. CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Self-Management Education
  4. Diabetes Self Management Education
  5. Programa de Manejo Personal de la Diabetes (Spanish Diabetes Self-Management Program)
  6. Diabetes Patient Education in a Mexican-American Community

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Related Content for: Advancing Diabetes Self Management: La Clinica de La Raza

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.