Race analysis in an African American sample with serious mental illness and comorbid diabetes

• Published in: Psychiatric rehabilitation journal Vol. 41; no. 3; p. 246
• Main Authors: Sajatovic, Martha, Howland, Molly, Gunzler, Douglas, Kanuch, Stephanie W, Cassidy, Kristin A, McCormick, Richard, Bauer, Mark S, Scheidemantel, Thomas, Thomas, Charles, Blixen, Carol, Dawson, Neal V
• Format: Journal Article
• Language: English
• Published: United States 01.09.2018
• Subjects: Adult; African Americans - ethnology; Comorbidity; Diabetes Mellitus - blood; Diabetes Mellitus - ethnology; Diabetes Mellitus - therapy; European Continental Ancestry Group - ethnology; Female; Follow-Up Studies; Glycated Hemoglobin A - analysis; Humans; Male; Mental Disorders - ethnology; Middle Aged; Outcome Assessment, Health Care; Patient Education as Topic - methods; Psychotherapy - methods; Self-Management - methods
• ISSN: 1559-3126
• DOI: 10.1037/prj0000314

Targeted Training in Illness Management (TTIM) focuses on enhancing care engagement for people living with serious mental illness and diabetes. This secondary analysis from a 60-week, randomized controlled trial of TTIM versus treatment as usual evaluated racial subgroup outcomes. Demographics, clinical characteristics, and diabetes status were evaluated for those self-identifying as non-Hispanic White, African American, and Hispanic. Longitudinal response to TTIM was evaluated using a multiple domain risk index. Due to their small sample size; those identifying as Hispanic were excluded from this analysis. Non-Hispanic White participants had greater baseline socioeconomic advantages. Baseline risk scores, glycosylated hemoglobin (HbA1c) values, and HbA1c differences over time were similar for African American and non-Hispanic White participants. African American participants living with serious mental illness and diabetes receiving TTIM did as well as non-Hispanic White participants. Inclusive approaches that feature peer support and are situated in safety-net health care settings need to be further investigated with respect to potentially impacting health disparities. (PsycINFO Database Record