Does a 2.5-year self-management education and support intervention change patterns of healthcare use in African-American adults with Type 2 diabetes?
Aims To investigate the impact of a 2.5‐year diabetes self‐management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use. Methods We recruited 60 African‐American adults with Type 2 diabetes who completed a 2.5‐year empowerment‐base...
Saved in:
| Published in | Diabetic medicine Vol. 31; no. 4; pp. 472 - 476 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford
Blackwell Publishing Ltd
01.04.2014
Blackwell Wiley Subscription Services, Inc |
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Aims
To investigate the impact of a 2.5‐year diabetes self‐management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use.
Methods
We recruited 60 African‐American adults with Type 2 diabetes who completed a 2.5‐year empowerment‐based diabetes self‐management education and support intervention. Primary healthcare use outcomes included acute care visits, non‐acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non‐acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6‐month period preceding the intervention with that in the last 6 months of the intervention.
Results
No significant changes in patterns of healthcare use were found for acute care, non‐acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non‐acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability.
Conclusions
Participation in a long‐term diabetes self‐management education and support intervention had no impact on healthcare use in our sample of African‐American subjects.
What's new?
This is one of only two studies examining healthcare use as an outcome of a long‐term self‐management education and a support intervention targeting African‐American adults with Type 2 diabetes.
Participation in a 2.5‐year diabetes self‐management education and support intervention has no impact on acute care visits, non‐acute care visits or days lost to disability.
Depressive symptomatology is a significant predictor of non‐acute healthcare use.
Duration of diabetes and diastolic blood pressure are significant predictors of days lost to diabetes‐related disability. |
|---|---|
| AbstractList | This is one of only two studies examining healthcare use as an outcome of a long‐term self‐management education and a support intervention targeting African‐American adults with Type 2 diabetes.
Participation in a 2.5‐year diabetes self‐management education and support intervention has no impact on acute care visits, non‐acute care visits or days lost to disability.
Depressive symptomatology is a significant predictor of non‐acute healthcare use.
Duration of diabetes and diastolic blood pressure are significant predictors of days lost to diabetes‐related disability. To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use. We recruited 60 African-American adults with type 2 diabetes who completed a 2.5-year empowerment-based diabetes self-management education and support intervention. Primary healthcare use outcomes included acute care visits, non-acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non-acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6-month period preceding the intervention with that in the last 6 months of the intervention. No significant changes in patterns of healthcare use were found for acute care, non-acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non-acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability. Participation in a long-term diabetes self-management education and support intervention had no impact on healthcare use in our sample of African-American subjects. Aims: To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use. Methods: We recruited 60 African-American adults with Type 2 diabetes who completed a 2.5-year empowerment-based diabetes self-management education and support intervention. Primary healthcare use outcomes included acute care visits, non-acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non-acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6-month period preceding the intervention with that in the last 6 months of the intervention. Results: No significant changes in patterns of healthcare use were found for acute care, non-acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non-acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability. Conclusions: Participation in a long-term diabetes self-management education and support intervention had no impact on healthcare use in our sample of African-American subjects. Aims To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use. Methods We recruited 60 African-American adults with Type 2 diabetes who completed a 2.5-year empowerment-based diabetes self-management education and support intervention. Primary healthcare use outcomes included acute care visits, non-acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non-acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6-month period preceding the intervention with that in the last 6 months of the intervention. Results No significant changes in patterns of healthcare use were found for acute care, non-acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non-acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability. Conclusions Participation in a long-term diabetes self-management education and support intervention had no impact on healthcare use in our sample of African-American subjects. What's new? This is one of only two studies examining healthcare use as an outcome of a long-term self-management education and a support intervention targeting African-American adults with Type 2 diabetes. Participation in a 2.5-year diabetes self-management education and support intervention has no impact on acute care visits, non-acute care visits or days lost to disability. Depressive symptomatology is a significant predictor of non-acute healthcare use. Duration of diabetes and diastolic blood pressure are significant predictors of days lost to diabetes-related disability. [PUBLICATION ABSTRACT] To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use.AIMSTo investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use.We recruited 60 African-American adults with type 2 diabetes who completed a 2.5-year empowerment-based diabetes self-management education and support intervention. Primary healthcare use outcomes included acute care visits, non-acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non-acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6-month period preceding the intervention with that in the last 6 months of the intervention.METHODSWe recruited 60 African-American adults with type 2 diabetes who completed a 2.5-year empowerment-based diabetes self-management education and support intervention. Primary healthcare use outcomes included acute care visits, non-acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non-acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6-month period preceding the intervention with that in the last 6 months of the intervention.No significant changes in patterns of healthcare use were found for acute care, non-acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non-acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability.RESULTSNo significant changes in patterns of healthcare use were found for acute care, non-acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non-acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability.Participation in a long-term diabetes self-management education and support intervention had no impact on healthcare use in our sample of African-American subjects.CONCLUSIONSParticipation in a long-term diabetes self-management education and support intervention had no impact on healthcare use in our sample of African-American subjects. Aims To investigate the impact of a 2.5‐year diabetes self‐management education and support intervention on healthcare use and to examine factors associated with patterns of healthcare use. Methods We recruited 60 African‐American adults with Type 2 diabetes who completed a 2.5‐year empowerment‐based diabetes self‐management education and support intervention. Primary healthcare use outcomes included acute care visits, non‐acute care visits and days lost to disability. Acute care was a composite score calculated from the frequency of urgent care visits, emergency department visits and hospitalizations. Non‐acute care measured the frequency of scheduled outpatient visits. To examine change in patterns of healthcare use, we compared the frequency of healthcare visits over the 6‐month period preceding the intervention with that in the last 6 months of the intervention. Results No significant changes in patterns of healthcare use were found for acute care, non‐acute care or days lost to disability. Multiple regression models found higher levels of depression (P = 0.001) to be associated with a greater number of non‐acute healthcare visits, and found longer duration of diabetes (P = 0.019) and lower levels of diastolic blood pressure (P = 0.025) to be associated with fewer days lost to disability. Conclusions Participation in a long‐term diabetes self‐management education and support intervention had no impact on healthcare use in our sample of African‐American subjects. What's new? This is one of only two studies examining healthcare use as an outcome of a long‐term self‐management education and a support intervention targeting African‐American adults with Type 2 diabetes. Participation in a 2.5‐year diabetes self‐management education and support intervention has no impact on acute care visits, non‐acute care visits or days lost to disability. Depressive symptomatology is a significant predictor of non‐acute healthcare use. Duration of diabetes and diastolic blood pressure are significant predictors of days lost to diabetes‐related disability. |
| Author | Yeung, R. O. Oh, M. Tang, T. S. |
| Author_xml | – sequence: 1 givenname: R. O. surname: Yeung fullname: Yeung, R. O. organization: Department of Medicine, Faculty of Medicine, University of British Columbia, BC, Vancouver, Canada – sequence: 2 givenname: M. surname: Oh fullname: Oh, M. organization: Department or Medical Education, University of Michigan, Michigan, Ann Arbor, USA – sequence: 3 givenname: T. S. surname: Tang fullname: Tang, T. S. email: tricia.tang@vch.ca organization: Department of Medicine, Faculty of Medicine, University of British Columbia, BC, Vancouver, Canada |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28275157$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/24303850$$D View this record in MEDLINE/PubMed |
| BookMark | eNqN0ktv1DAQAGALFdEHHPgDyBJCgkO2dvxIckKrbimPFi4FjpZjT7ouiRNsh7I_hP9L9tEiVQLhiy3PNyPZM4doz_ceEHpKyYxO69h2MKM5K_gDdEC55JngFd1DB6TgecZIQffRYYzXhNC8YtUjtJ9zRlgpyAH6teghYo3zmchWoAOO0DZZp72-gg58wmBHo5PrPdbe4jgOQx8Sdj5B-DHF1wGz1P4K8KDTdOkj7hu8BN2mpdEB8Bhh4njeBGe0z-YdbA5Y27FNEd-4tMSXqwFwjq3TNSSIrx-jh41uIzzZ7Ufo85vTy5O32fmns3cn8_PM8LLiWV5LI1kja0Mr2zBjc2vLRtqisYSZ0nANVBhidMUrYWVe8boWsuLTv0hgNWFH6OW27hD67yPEpDoXDbSt9tCPUVFBOaeFkPI_KCk5ZZyWE31-j173Y_DTQ9aqKAQjtJjUs50a6w6sGoLrdFip295M4MUO6Gh02wTtjYt_XJkXgop1oVdbZ0IfY4DmjlCi1vOhpvlQm_mY7PE9a1zatDcF7dp_Zdy4FlZ_L60WF6e3Gdk2w8UEP-8ydPimZMEKob5-PFOSf-AX7MtCvWe_AUII2c0 |
| CODEN | DIMEEV |
| CitedBy_id | crossref_primary_10_1093_ijpp_riac009 crossref_primary_10_1155_2021_2969243 crossref_primary_10_1097_HNP_0000000000000370 crossref_primary_10_1016_j_healthpol_2018_06_003 crossref_primary_10_1007_s40200_021_00817_z |
| Cites_doi | 10.1080/13557850600565640 10.1177/014572170302900311 10.2337/diacare.23.9.1339 10.1016/0895-4356(88)90040-6 10.1001/archinternmed.2009.338 10.2337/diacare.24.3.561 10.2337/dc12-1707 10.1097/01.MLR.0000045021.70297.9F 10.1177/0145721710392246 10.1111/jgs.12003 10.1016/j.ajem.2011.02.028 10.2337/diacare.26.5.1641-a 10.2337/diacare.25.7.1159 10.1002/14651858 10.1097/MLR.0b013e3180618b55 10.1046/j.1525-1497.2001.016009606.x 10.1016/S0738-3991(03)00016-8 10.2337/dc11-1791 10.1177/0145721712445215 10.1016/j.diabres.2011.04.003 10.2337/diaclin.22.3.123 10.2337/diacare.22.7.1105 10.2337/diacare.28.3.626 10.1016/S0749-3797(02)00424-5 10.1007/s00125-010-1873-y 10.1111/j.1365-2753.2009.01248.x |
| ContentType | Journal Article |
| Copyright | 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK 2015 INIST-CNRS 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK. Diabetic Medicine © 2014 Diabetes UK |
| Copyright_xml | – notice: 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK – notice: 2015 INIST-CNRS – notice: 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK. – notice: Diabetic Medicine © 2014 Diabetes UK |
| DBID | BSCLL AAYXX CITATION IQODW CGR CUY CVF ECM EIF NPM 7T5 8FD FR3 H94 K9. P64 RC3 7X8 ASE FPQ K6X |
| DOI | 10.1111/dme.12374 |
| DatabaseName | Istex CrossRef Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Immunology Abstracts Technology Research Database Engineering Research Database AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) Biotechnology and BioEngineering Abstracts Genetics Abstracts MEDLINE - Academic British Nursing Index British Nursing Index (BNI) (1985 to Present) British Nursing Index |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Genetics Abstracts Technology Research Database AIDS and Cancer Research Abstracts ProQuest Health & Medical Complete (Alumni) Immunology Abstracts Engineering Research Database Biotechnology and BioEngineering Abstracts MEDLINE - Academic British Nursing Index |
| DatabaseTitleList | CrossRef MEDLINE British Nursing Index Genetics Abstracts MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Nursing |
| EISSN | 1464-5491 |
| EndPage | 476 |
| ExternalDocumentID | 3247676681 24303850 28275157 10_1111_dme_12374 DME12374 ark_67375_WNG_64K4M3VD_J |
| Genre | shortCommunication Research Support, Non-U.S. Gov't Journal Article Research Support, N.I.H., Extramural |
| GeographicLocations | United States--US |
| GeographicLocations_xml | – name: United States--US |
| GrantInformation_xml | – fundername: National Institutes of Health funderid: K23DK068375 – fundername: National Institutes of Diabetes and Digestive and Kidney Disease (NIDDK) funderid: NIH P60 DK20472 – fundername: The British Columbia Endocrine Research Foundation – fundername: NIDDK NIH HHS grantid: P60 DK20472 – fundername: NIDDK NIH HHS grantid: K23 K23DK068375 |
| GroupedDBID | --- .3N .GA .GJ .Y3 05W 0R~ 10A 1CY 1OB 1OC 29F 31~ 33P 36B 3SF 4.4 50Y 50Z 51W 51X 52M 52N 52O 52P 52R 52S 52T 52U 52V 52W 52X 53G 5GY 5HH 5LA 5RE 5VS 66C 6PF 702 7PT 8-0 8-1 8-3 8-4 8-5 8UM 930 A01 A03 AAESR AAEVG AAHHS AANLZ AAONW AASGY AAWTL AAXRX AAZKR ABCQN ABCUV ABEML ABIJN ABJNI ABLJU ABOCM ABPVW ABQWH ABXGK ACAHQ ACBWZ ACCFJ ACCZN ACFBH ACGFO ACGFS ACGOF ACMXC ACPOU ACPRK ACSCC ACXBN ACXQS ADBBV ADBTR ADEOM ADIZJ ADKYN ADMGS ADOZA ADXAS ADZMN ADZOD AEEZP AEGXH AEIGN AEIMD AENEX AEQDE AEUQT AEUYR AFBPY AFEBI AFFPM AFGKR AFPWT AFZJQ AHBTC AHMBA AIACR AIAGR AITYG AIURR AIWBW AJBDE ALAGY ALMA_UNASSIGNED_HOLDINGS ALUQN AMBMR AMYDB ASPBG ATUGU AVWKF AZBYB AZFZN AZVAB BAFTC BDRZF BFHJK BHBCM BMXJE BROTX BRXPI BSCLL BY8 C45 CAG COF CS3 D-6 D-7 D-E D-F DCZOG DPXWK DR2 DRFUL DRMAN DRSTM DU5 DUUFO EBS EJD ESX EX3 F00 F01 F04 F5P FEDTE FUBAC G-S G.N GODZA H.X HF~ HGLYW HVGLF HZI HZ~ IHE IX1 J0M K48 KBYEO KQQ LATKE LAW LC2 LC3 LEEKS LH4 LITHE LOXES LP6 LP7 LUTES LW6 LYRES MEWTI MK4 MRFUL MRMAN MRSTM MSFUL MSMAN MSSTM MXFUL MXMAN MXSTM N04 N05 N9A NF~ O66 O9- OIG OVD P2P P2W P2X P2Z P4B P4D PQQKQ Q.N Q11 QB0 R.K ROL RWI RX1 SAMSI SUPJJ TEORI UB1 V8K V9Y W8V W99 WBKPD WH7 WHWMO WIH WIJ WIK WOHZO WOW WQJ WRC WVDHM WXI WXSBR XG1 XV2 YFH YUY ZGI ZXP ZZTAW ~IA ~WT AAHQN AAIPD AAMNL AANHP AAYCA ACRPL ACYXJ ADNMO AFWVQ ALVPJ AAYXX AEYWJ AGHNM AGQPQ AGYGG CITATION IQODW CGR CUY CVF ECM EIF NPM 7T5 8FD AAMMB AEFGJ AGXDD AIDQK AIDYY FR3 H94 K9. P64 RC3 7X8 ASE FPQ K6X |
| ID | FETCH-LOGICAL-c4894-2b6c63f6bc19df3cd2dd8f6d7fd03c8c4ae15c0ca9495d6294bb56940746e3b03 |
| IEDL.DBID | DR2 |
| ISSN | 0742-3071 1464-5491 |
| IngestDate | Fri Jul 11 03:00:18 EDT 2025 Thu Jul 10 17:40:14 EDT 2025 Sat Aug 16 22:21:15 EDT 2025 Wed Feb 19 01:51:54 EST 2025 Wed Apr 02 08:10:21 EDT 2025 Thu Apr 24 22:57:06 EDT 2025 Tue Jul 01 00:56:49 EDT 2025 Wed Jan 22 16:23:10 EST 2025 Wed Oct 30 09:54:23 EDT 2024 |
| IsDoiOpenAccess | false |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | Endocrinopathy Type 2 diabetes Human Obesity Nutrition Health Use Nutrition disorder Metabolic diseases Change Care Teaching Selfcare Education Adult Healthcare Endocrinology Nutritional status African American |
| Language | English |
| License | CC BY 4.0 2013 The Authors. Diabetic Medicine © 2013 Diabetes UK. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c4894-2b6c63f6bc19df3cd2dd8f6d7fd03c8c4ae15c0ca9495d6294bb56940746e3b03 |
| Notes | National Institutes of Diabetes and Digestive and Kidney Disease (NIDDK) - No. NIH P60 DK20472 ark:/67375/WNG-64K4M3VD-J National Institutes of Health - No. K23DK068375 The British Columbia Endocrine Research Foundation ArticleID:DME12374 istex:4B02B395609EB57EED98C078E91F1069FA9310BF ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
| OpenAccessLink | http://deepblue.lib.umich.edu/bitstream/2027.42/106733/1/dme12374.pdf |
| PMID | 24303850 |
| PQID | 1507753017 |
| PQPubID | 1006515 |
| PageCount | 5 |
| ParticipantIDs | proquest_miscellaneous_1514417566 proquest_miscellaneous_1508413418 proquest_journals_1507753017 pubmed_primary_24303850 pascalfrancis_primary_28275157 crossref_primary_10_1111_dme_12374 crossref_citationtrail_10_1111_dme_12374 wiley_primary_10_1111_dme_12374_DME12374 istex_primary_ark_67375_WNG_64K4M3VD_J |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | April 2014 |
| PublicationDateYYYYMMDD | 2014-04-01 |
| PublicationDate_xml | – month: 04 year: 2014 text: April 2014 |
| PublicationDecade | 2010 |
| PublicationPlace | Oxford |
| PublicationPlace_xml | – name: Oxford – name: England – name: London |
| PublicationTitle | Diabetic medicine |
| PublicationTitleAlternate | Diabet. Med |
| PublicationYear | 2014 |
| Publisher | Blackwell Publishing Ltd Blackwell Wiley Subscription Services, Inc |
| Publisher_xml | – name: Blackwell Publishing Ltd – name: Blackwell – name: Wiley Subscription Services, Inc |
| References | Patout CA Jr, Birke JA, Horsewell R, Williams D, Cerise FP. Effectiveness of a comprehensive diabetes lower-extremity amputation prevention program in a predominantly low-income African-American population. Diabetes Care 2000; 23: 1339-1342. Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetes Care 2002; 25: 1159-1171. Ellis SE, Speroff T, Dittus RS, Brown, Pichert JW, Elasy TA. Diabetes patient education: A meta-analysis and meta-regression. Patient Educ Couns 2004; 52: 97-105. Parada H, Horton LA, Herrigton A, Ilbarra L, Ayala GX. Correlates of medication nonadherence among Latinos with type 2 diabetes. Diabetes Educ 2012; 38: 552-561. Husaini BA, Hull PC, Sherkat DE, Emerson JS, Oveton MT, Craun C et al. Diabetes, depression, and healthcare utilization among African American in Primary Care. J National Med Assoc 2004; 96: 476-484. Menchine MD, Wiechmann W, Peter AL, Arora S. Trends in diabetes-related visits to US EDs from 1997-2007. Am J of Emerg Med 2012; 30: 754-758. Norris SL, Engelgau MM, Venkat Narayan KM. Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care 2001; 24: 561-587. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L et al. Increasing diabetes self-management education in community settings. A systematic review. Am J Prev Med 2002; 22: 39-66. Gary TL, Batts-Turner M, Yeh H, Hill-Briggs F, Bone LR, Wang N, et al. The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med 2009; 169: 1788-1794. Deakin T, McShane CE, Cade JE, Williams RDRR. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database System Rev 2005; (2). Art No.: CD003417.doi:10.1002/14651858. CD003417.pub2. Laditka JN, Laditka SB. Race, ethnicity and hospitalization for six chronic ambulatory care sensitive conditions in the USA. Ethn Health 2006; 11: 247-263. Kim G, Ford KL, Chiriboga DA, Sorkin DH. Racial and ethnic disparities in healthcare use, delayed care, and management of diabetes mellitus in older adults in California. J Am Geriatr Soc 2012; 60: 2319-2325. Haas L, Maryniuk M, Beck J, Cox CC , Duker P, Edwards L et al. National Standards for Diabetes Self-Management Education and Support. Diabetes Care 2012; 35: 2393-2401. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613. Mayfield JA, Deb P, Whitecotton L. Work disability and diabetes. Diabetes Care 1999; 22: 1105-1109. Padgett D, Mumford E, Hynes M, Carter R. Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. J Clin Epidemiol 1988; 41: 1007-1030. Oster A, Bindman AB. Emergency department visits for ambulatory care sensitie conditions. Insights into preventable hospitalizations. Medical Care 2003; 41:198-207. Sullivan MD, O'Connor P, Feeney P, Hire D, Simmons DL, Raisch DW et al. Depression predicts all-cause mortality: Epidemiological evaluation from the ACCORD HRQL substudy. Diabetes Care 2012; 35: 1708-1715. Tang TS, Funnell MM, Noorulla S, Oh M, Brown MB. Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention. Diabetes Res Clin Pract 2012; 95: 85-92. Chiou S, Campbell C, Myers L, Culbertson R, Horswell R. Factors influencing inappropriate use of ED visits among type 2 diabetics in an evidence-based management programme. J Eval Clin Pract 2010; 16: 1048-1054. Lee J, Liu C, Sales AE. Racial and ethnic differences in diabetes care and health care use and costs. Prev Chron Dis 2006; 3: A85. Sarkisian CA, Brown AF, Norris KC, Wintz RL, Mangione CM. A systematic review of diabetes self-care interventions for older African-American, or Latino Adults. Diabetes Educ 2003; 29: 467-479. Polonsky WH, Fisher L, Earles J, Dudi RJ, Less J, Mullan J et al. Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care 2005; 28: 626-631. Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care 2003; 26: 1641-1642. Magee M, Bowling A, Copeland J, Fokar A, Pasquale P, Youssef G. The ABCs of diabetes: diabetes self-management education program for African Americans affects A1C, lipid-lowering agent prescriptions, and emergency department visits. Diabetes Educ 2011; 37: 95-103. Fedder M. The effectiveness of a community health worker outreach program on healthcare utilization of West Baltimore City Medicaid Patients with diabetes, with or without hypertension. Ethn Dis 2003; 13: 22-27. Hutter N, Schnurr A, Baumeister H. Healtcare costs in patients with diabetes mellitus and comorbid mental disorders - a systemactic review. Diabetologia 2010; 53: 2470-2479. Zhang X, Norris SL, Chowdury FM, Gregg EW, Zhang P. The effects of interentions on health-related quality of life among persons with diabetes: A systematic review. Med Care 2007; 45: 820-834. Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clin Diabetes 2004; 22: 153-157. 2012; 60 2004; 22 2010; 53 2010; 16 2000; 23 2006; 11 2003; 13 1999; 22 2006; 3 2005 2011; 37 2012; 38 2012; 35 2001; 24 2005; 28 2012; 30 2012; 95 2004; 52 2002; 25 2004; 96 2002; 22 2003; 26 2003; 29 2001; 16 1988; 41 2003; 41 2007; 45 2009; 169 e_1_2_8_28_1 e_1_2_8_29_1 e_1_2_8_24_1 e_1_2_8_25_1 e_1_2_8_26_1 Lee J (e_1_2_8_7_1) 2006; 3 Fedder M (e_1_2_8_19_1) 2003; 13 e_1_2_8_3_1 Oster A (e_1_2_8_6_1) 2003; 41 e_1_2_8_2_1 e_1_2_8_5_1 e_1_2_8_4_1 e_1_2_8_9_1 e_1_2_8_8_1 e_1_2_8_20_1 e_1_2_8_21_1 e_1_2_8_22_1 e_1_2_8_23_1 e_1_2_8_17_1 e_1_2_8_18_1 e_1_2_8_13_1 e_1_2_8_14_1 e_1_2_8_15_1 e_1_2_8_16_1 Husaini BA (e_1_2_8_27_1) 2004; 96 e_1_2_8_10_1 e_1_2_8_11_1 e_1_2_8_12_1 e_1_2_8_30_1 |
| References_xml | – reference: Polonsky WH, Fisher L, Earles J, Dudi RJ, Less J, Mullan J et al. Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care 2005; 28: 626-631. – reference: Norris SL, Engelgau MM, Venkat Narayan KM. Effectiveness of self-management training in type 2 diabetes: A systematic review of randomized controlled trials. Diabetes Care 2001; 24: 561-587. – reference: Parada H, Horton LA, Herrigton A, Ilbarra L, Ayala GX. Correlates of medication nonadherence among Latinos with type 2 diabetes. Diabetes Educ 2012; 38: 552-561. – reference: Laditka JN, Laditka SB. Race, ethnicity and hospitalization for six chronic ambulatory care sensitive conditions in the USA. Ethn Health 2006; 11: 247-263. – reference: Zhang X, Norris SL, Chowdury FM, Gregg EW, Zhang P. The effects of interentions on health-related quality of life among persons with diabetes: A systematic review. Med Care 2007; 45: 820-834. – reference: Magee M, Bowling A, Copeland J, Fokar A, Pasquale P, Youssef G. The ABCs of diabetes: diabetes self-management education program for African Americans affects A1C, lipid-lowering agent prescriptions, and emergency department visits. Diabetes Educ 2011; 37: 95-103. – reference: Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clin Diabetes 2004; 22: 153-157. – reference: Fedder M. The effectiveness of a community health worker outreach program on healthcare utilization of West Baltimore City Medicaid Patients with diabetes, with or without hypertension. Ethn Dis 2003; 13: 22-27. – reference: Deakin T, McShane CE, Cade JE, Williams RDRR. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database System Rev 2005; (2). Art No.: CD003417.doi:10.1002/14651858. CD003417.pub2. – reference: Ellis SE, Speroff T, Dittus RS, Brown, Pichert JW, Elasy TA. Diabetes patient education: A meta-analysis and meta-regression. Patient Educ Couns 2004; 52: 97-105. – reference: Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 2001; 16: 606-613. – reference: Hutter N, Schnurr A, Baumeister H. Healtcare costs in patients with diabetes mellitus and comorbid mental disorders - a systemactic review. Diabetologia 2010; 53: 2470-2479. – reference: Anderson RM, Fitzgerald JT, Gruppen LD, Funnell MM, Oh MS. The diabetes empowerment scale-short form (DES-SF). Diabetes Care 2003; 26: 1641-1642. – reference: Gary TL, Batts-Turner M, Yeh H, Hill-Briggs F, Bone LR, Wang N, et al. The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial. Arch Intern Med 2009; 169: 1788-1794. – reference: Chiou S, Campbell C, Myers L, Culbertson R, Horswell R. Factors influencing inappropriate use of ED visits among type 2 diabetics in an evidence-based management programme. J Eval Clin Pract 2010; 16: 1048-1054. – reference: Menchine MD, Wiechmann W, Peter AL, Arora S. Trends in diabetes-related visits to US EDs from 1997-2007. Am J of Emerg Med 2012; 30: 754-758. – reference: Oster A, Bindman AB. Emergency department visits for ambulatory care sensitie conditions. Insights into preventable hospitalizations. Medical Care 2003; 41:198-207. – reference: Norris SL, Lau J, Smith SJ, Schmid CH, Engelgau MM. Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetes Care 2002; 25: 1159-1171. – reference: Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L et al. Increasing diabetes self-management education in community settings. A systematic review. Am J Prev Med 2002; 22: 39-66. – reference: Sarkisian CA, Brown AF, Norris KC, Wintz RL, Mangione CM. A systematic review of diabetes self-care interventions for older African-American, or Latino Adults. Diabetes Educ 2003; 29: 467-479. – reference: Mayfield JA, Deb P, Whitecotton L. Work disability and diabetes. Diabetes Care 1999; 22: 1105-1109. – reference: Husaini BA, Hull PC, Sherkat DE, Emerson JS, Oveton MT, Craun C et al. Diabetes, depression, and healthcare utilization among African American in Primary Care. J National Med Assoc 2004; 96: 476-484. – reference: Tang TS, Funnell MM, Noorulla S, Oh M, Brown MB. Sustaining short-term improvements over the long-term: results from a 2-year diabetes self-management support (DSMS) intervention. Diabetes Res Clin Pract 2012; 95: 85-92. – reference: Sullivan MD, O'Connor P, Feeney P, Hire D, Simmons DL, Raisch DW et al. Depression predicts all-cause mortality: Epidemiological evaluation from the ACCORD HRQL substudy. Diabetes Care 2012; 35: 1708-1715. – reference: Patout CA Jr, Birke JA, Horsewell R, Williams D, Cerise FP. Effectiveness of a comprehensive diabetes lower-extremity amputation prevention program in a predominantly low-income African-American population. Diabetes Care 2000; 23: 1339-1342. – reference: Kim G, Ford KL, Chiriboga DA, Sorkin DH. Racial and ethnic disparities in healthcare use, delayed care, and management of diabetes mellitus in older adults in California. J Am Geriatr Soc 2012; 60: 2319-2325. – reference: Lee J, Liu C, Sales AE. Racial and ethnic differences in diabetes care and health care use and costs. Prev Chron Dis 2006; 3: A85. – reference: Haas L, Maryniuk M, Beck J, Cox CC , Duker P, Edwards L et al. National Standards for Diabetes Self-Management Education and Support. Diabetes Care 2012; 35: 2393-2401. – reference: Padgett D, Mumford E, Hynes M, Carter R. Meta-analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus. J Clin Epidemiol 1988; 41: 1007-1030. – volume: 16 start-page: 1048 year: 2010 end-page: 1054 article-title: Factors influencing inappropriate use of ED visits among type 2 diabetics in an evidence‐based management programme publication-title: J Eval Clin Pract – volume: 52 start-page: 97 year: 2004 end-page: 105 article-title: Diabetes patient education: A meta‐analysis and meta‐regression publication-title: Patient Educ Couns – volume: 35 start-page: 2393 year: 2012 end-page: 2401 article-title: National Standards for Diabetes Self‐Management Education and Support publication-title: Diabetes Care – volume: 11 start-page: 247 year: 2006 end-page: 263 article-title: Race, ethnicity and hospitalization for six chronic ambulatory care sensitive conditions in the USA publication-title: Ethn Health – volume: 22 start-page: 39 year: 2002 end-page: 66 article-title: Increasing diabetes self‐management education in community settings. A systematic review publication-title: Am J Prev Med – volume: 96 start-page: 476 year: 2004 end-page: 484 article-title: Diabetes, depression, and healthcare utilization among African American in Primary Care publication-title: J National Med Assoc – volume: 60 start-page: 2319 year: 2012 end-page: 2325 article-title: Racial and ethnic disparities in healthcare use, delayed care, and management of diabetes mellitus in older adults in California publication-title: J Am Geriatr Soc – volume: 37 start-page: 95 year: 2011 end-page: 103 article-title: The ABCs of diabetes: diabetes self‐management education program for African Americans affects A1C, lipid‐lowering agent prescriptions, and emergency department visits publication-title: Diabetes Educ – volume: 95 start-page: 85 year: 2012 end-page: 92 article-title: Sustaining short‐term improvements over the long‐term: results from a 2‐year diabetes self‐management support (DSMS) intervention publication-title: Diabetes Res Clin Pract – volume: 22 start-page: 153 year: 2004 end-page: 157 article-title: Empowerment and self‐management of diabetes publication-title: Clin Diabetes – volume: 30 start-page: 754 year: 2012 end-page: 758 article-title: Trends in diabetes‐related visits to US EDs from 1997‐2007 publication-title: Am J of Emerg Med – volume: 26 start-page: 1641 year: 2003 end-page: 1642 article-title: The diabetes empowerment scale‐short form (DES‐SF) publication-title: Diabetes Care – volume: 23 start-page: 1339 year: 2000 end-page: 1342 article-title: Effectiveness of a comprehensive diabetes lower‐extremity amputation prevention program in a predominantly low‐income African‐American population publication-title: Diabetes Care – volume: 22 start-page: 1105 year: 1999 end-page: 1109 article-title: Work disability and diabetes publication-title: Diabetes Care – volume: 24 start-page: 561 year: 2001 end-page: 587 article-title: Venkat Narayan KM. Effectiveness of self‐management training in type 2 diabetes: A systematic review of randomized controlled trials publication-title: Diabetes Care – volume: 25 start-page: 1159 year: 2002 end-page: 1171 article-title: Self‐management education for adults with type 2 diabetes: A meta‐analysis of the effect on glycemic control publication-title: Diabetes Care – volume: 35 start-page: 1708 year: 2012 end-page: 1715 article-title: Depression predicts all‐cause mortality: Epidemiological evaluation from the ACCORD HRQL substudy publication-title: Diabetes Care – volume: 45 start-page: 820 year: 2007 end-page: 834 article-title: The effects of interentions on health‐related quality of life among persons with diabetes: A systematic review publication-title: Med Care – volume: 38 start-page: 552 year: 2012 end-page: 561 article-title: Correlates of medication nonadherence among Latinos with type 2 diabetes publication-title: Diabetes Educ – volume: 28 start-page: 626 year: 2005 end-page: 631 article-title: Assessing psychosocial distress in diabetes: Development of the diabetes distress scale publication-title: Diabetes Care – volume: 29 start-page: 467 year: 2003 end-page: 479 article-title: A systematic review of diabetes self‐care interventions for older African‐American, or Latino Adults publication-title: Diabetes Educ – volume: 41 start-page: 1007 year: 1988 end-page: 1030 article-title: Meta‐analysis of the effects of educational and psychosocial interventions on management of diabetes mellitus publication-title: J Clin Epidemiol – volume: 41 start-page: 198 year: 2003 end-page: 207 article-title: Emergency department visits for ambulatory care sensitie conditions. Insights into preventable hospitalizations publication-title: Medical Care – volume: 16 start-page: 606 year: 2001 end-page: 613 article-title: The PHQ‐9: Validity of a brief depression severity measure publication-title: J Gen Intern Med – volume: 13 start-page: 22 year: 2003 end-page: 27 article-title: The effectiveness of a community health worker outreach program on healthcare utilization of West Baltimore City Medicaid Patients with diabetes, with or without hypertension publication-title: Ethn Dis – volume: 169 start-page: 1788 year: 2009 end-page: 1794 article-title: The effects of a nurse case manager and a community health worker team on diabetic control, emergency department visits, and hospitalizations among urban African Americans with type 2 diabetes mellitus: a randomized controlled trial publication-title: Arch Intern Med – year: 2005 article-title: Group based training for self‐management strategies in people with type 2 diabetes mellitus publication-title: Cochrane Database System Rev – volume: 3 start-page: A85 year: 2006 article-title: Racial and ethnic differences in diabetes care and health care use and costs publication-title: Prev Chron Dis – volume: 53 start-page: 2470 year: 2010 end-page: 2479 article-title: Healtcare costs in patients with diabetes mellitus and comorbid mental disorders – a systemactic review publication-title: Diabetologia – ident: e_1_2_8_5_1 doi: 10.1080/13557850600565640 – ident: e_1_2_8_16_1 doi: 10.1177/014572170302900311 – ident: e_1_2_8_20_1 doi: 10.2337/diacare.23.9.1339 – ident: e_1_2_8_13_1 doi: 10.1016/0895-4356(88)90040-6 – ident: e_1_2_8_17_1 doi: 10.1001/archinternmed.2009.338 – ident: e_1_2_8_11_1 doi: 10.2337/diacare.24.3.561 – ident: e_1_2_8_22_1 doi: 10.2337/dc12-1707 – volume: 3 start-page: A85 year: 2006 ident: e_1_2_8_7_1 article-title: Racial and ethnic differences in diabetes care and health care use and costs publication-title: Prev Chron Dis – volume: 41 start-page: 198 year: 2003 ident: e_1_2_8_6_1 article-title: Emergency department visits for ambulatory care sensitie conditions. Insights into preventable hospitalizations publication-title: Medical Care doi: 10.1097/01.MLR.0000045021.70297.9F – ident: e_1_2_8_18_1 doi: 10.1177/0145721710392246 – ident: e_1_2_8_2_1 doi: 10.1111/jgs.12003 – ident: e_1_2_8_3_1 doi: 10.1016/j.ajem.2011.02.028 – ident: e_1_2_8_25_1 doi: 10.2337/diacare.26.5.1641-a – ident: e_1_2_8_10_1 doi: 10.2337/diacare.25.7.1159 – ident: e_1_2_8_14_1 doi: 10.1002/14651858 – ident: e_1_2_8_15_1 doi: 10.1097/MLR.0b013e3180618b55 – ident: e_1_2_8_24_1 doi: 10.1046/j.1525-1497.2001.016009606.x – ident: e_1_2_8_9_1 doi: 10.1016/S0738-3991(03)00016-8 – ident: e_1_2_8_30_1 doi: 10.2337/dc11-1791 – ident: e_1_2_8_28_1 doi: 10.1177/0145721712445215 – ident: e_1_2_8_21_1 doi: 10.1016/j.diabres.2011.04.003 – ident: e_1_2_8_23_1 doi: 10.2337/diaclin.22.3.123 – ident: e_1_2_8_8_1 doi: 10.2337/diacare.22.7.1105 – volume: 96 start-page: 476 year: 2004 ident: e_1_2_8_27_1 article-title: Diabetes, depression, and healthcare utilization among African American in Primary Care publication-title: J National Med Assoc – ident: e_1_2_8_26_1 doi: 10.2337/diacare.28.3.626 – ident: e_1_2_8_12_1 doi: 10.1016/S0749-3797(02)00424-5 – ident: e_1_2_8_29_1 doi: 10.1007/s00125-010-1873-y – volume: 13 start-page: 22 year: 2003 ident: e_1_2_8_19_1 article-title: The effectiveness of a community health worker outreach program on healthcare utilization of West Baltimore City Medicaid Patients with diabetes, with or without hypertension publication-title: Ethn Dis – ident: e_1_2_8_4_1 doi: 10.1111/j.1365-2753.2009.01248.x |
| SSID | ssj0012939 |
| Score | 2.111763 |
| Snippet | Aims
To investigate the impact of a 2.5‐year diabetes self‐management education and support intervention on healthcare use and to examine factors associated... This is one of only two studies examining healthcare use as an outcome of a long‐term self‐management education and a support intervention targeting... To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated with... Aims To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated... Aims: To investigate the impact of a 2.5-year diabetes self-management education and support intervention on healthcare use and to examine factors associated... |
| SourceID | proquest pubmed pascalfrancis crossref wiley istex |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 472 |
| SubjectTerms | African Americans Aged Ambulatory Care - utilization Biological and medical sciences Blood Pressure Depression - psychology Diabetes Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Diabetes. Impaired glucose tolerance Emergency Service, Hospital - utilization Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Feeding. Feeding behavior Female Fundamental and applied biological sciences. Psychology Health Services - utilization Humans Male Medical sciences Middle Aged Multivariate Analysis Patient Education as Topic - methods Power (Psychology) Regression Analysis Self Care - methods Time Factors Treatment Outcome Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology |
| Title | Does a 2.5-year self-management education and support intervention change patterns of healthcare use in African-American adults with Type 2 diabetes? |
| URI | https://api.istex.fr/ark:/67375/WNG-64K4M3VD-J/fulltext.pdf https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fdme.12374 https://www.ncbi.nlm.nih.gov/pubmed/24303850 https://www.proquest.com/docview/1507753017 https://www.proquest.com/docview/1508413418 https://www.proquest.com/docview/1514417566 |
| Volume | 31 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1ba9RAFB5KRfHFS71FazmKiC9ZsslkktAHKd3WUtk-iNU-CGGuKG2zS7MB9cmf4Hv_nb_EcyYXu1JFfAvkZNmZnDPznXO-fMPYMy5FYscyCzH_iUKujQ1zF9nQxUKa3KQqUZ5tcSD2Dvn-UXq0wjb7b2FafYih4EaR4ddrCnCp6gtBbk7tCJfdjLRAiatFgOjNIB1F21jRSnDGVF8Zd6pCxOIZnlzai67QtH4mbqSscXpce67FZcBzGcf6jWj3JvvQD6HlnxyPmoUa6a-_qTv-5xhvsRsdQIWt1qNusxVbrbFr064Fv8audvWFO-x8MrM1SIhH6Y9v379gyEBtTxxenw6cGrA9gQRkZaBu5oT34dMFpiW03x7D3Ct9VjXMHHwcWGnQ1BbNoT3PqMIf73tM4KVDaqBKMlA6DTH0leSXd9nh7s7b7b2wO-sh1DwveBgroUXihNLjwrhEm9iY3AmTORMlOtdc2nGqIy0LzOiMiAuuVCoKTselWPSn5B5brWaVfcCgyAtpuaMWrON4TxXSKBlFFsFeIoUM2Iv-rZe6E0Kn8zhOyj4hwmkv_bQH7OlgOm_VPy4zeu5dZ7CQZ8dEl8vS8v3Bq1Lw13yavJuU-wHbWPKt4QFMezPElVnA1ntnK7ulpC4JsWNOiStnwJ4Mt3ERoM6OrOys8TY5J2m-_G82lDtnCN8Ddr915F9_gCfUIY5warw7_nmw5WS64y8e_rvpI3YdYWbHd1pnq4uzxj5GKLdQGz5mfwIaOkeX |
| linkProvider | Wiley-Blackwell |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9NAEB6VVlAuPMrLUMqCEOLiyLHXa1tCQoi0hLbJAbW0F2St96Gitk5UJxJw4idw59_xS5hZP2hQQYibJY-j7Hhm95uZzzMAT7kUkenLxMf4J_C50sZPbWB8GwqpUx0XUeHYFmMx3Ofbh_HhErxov4Wp-0N0CTfyDLdfk4NTQvqcl-tT08N9N-GXYIUmeruA6l3XPIoOsqxuwhlShqXf9BUiHk_36MJptEKK_UTsSFmhgmw92eIi6LmIZN1RtHUdPrSLqBkox735rOipL7_1d_zfVd6Aaw1GZa9qo7oJS6Zcgyujpgq_BpebFMMt-D6YmIpJFvbiH1-_fUavYZU5sXh92tFqmGk5JEyWmlXzKUF-9vEc2ZLVnx-zqWv2WVZsYtlRR0xj88qgOKtHGpX4422ZibnuIRWjZDKjiJqFrE0mv7wN-1ube6-HfjPuwVc8zbgfFkKJyIpC9TNtI6VDrVMrdGJ1EKlUcWn6sQqUzDCo0yLMeFHEIuM0McWgSUV3YLmclOYesCzNpOGWqrCW470ik7qQQWAQ70VSSA-et689V00vdBrJcZK3MRGqPXdq9-BJJzqtG4BcJPTM2U4nIc-OiTGXxPnB-E0u-A4fRe8H-bYHGwvG1T2AkW-C0DLxYL21trzZTaqcQDuGlbh5evC4u437ABV3ZGkmcyeTcurOl_5NhsLnBBG8B3drS_71B3hEReIAVePs8c-LzQejTXdx_99FH8HqcG-0m---He88gKuIOhv60zosz87m5iEiu1mx4Rz4J1vTS7I |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9NAEB6VVlRceJSXoZQFIcTFkWOv17Y4IEQaSksihCj0gLTap0BtnaiOJeDET-DOv-OXMLt-0KCCEDdLHkfZ8czuPD5_A_CACpaYochCzH-ikCptwtxGJrQxEzrXqUykR1tM2c4-3T1ID1bgcfctTMMP0RfcnGf4_do5-FzbU06uj80At92MnoM1yqLcmfTodc8d5c6xouHgjF2BZdjSCjkYT__o0mG05vT6yYEjRYX6sc1gi7Miz-VA1p9E40vwvltDA0A5HNQLOVBffqN3_M9FXoaLbYRKnjYmdQVWTLkB65O2B78B59sCw1X4PpqZiggSD9IfX799Rp8hlTmyeH3cg2qI6RAkRJSaVPXcBfzk4ymoJWk-PiZzT_VZVmRmyYcelkbqyqA4aQYalfjjXZOJeO6QirhSMnH5NIlJV0p-cg32x9tvnu2E7bCHUNG8oGEsmWKJZVINC20TpWOtc8t0ZnWUqFxRYYapipQoMKXTLC6olCkrqJuXYtCgkuuwWs5KcxNIkRfCUOt6sJbiPVkILUUUGYz2EsFEAI-6t85Vy4TuBnIc8S4jQrVzr_YA7vei84b-4yyhh950eglxcujwclnK302fc0b36CR5O-K7AWwt2Vb_AOa9GQaWWQCbnbHxdi-puAvZManErTOAe_1t3AVca0eUZlZ7mZw6br78bzIuec4wfg_gRmPIv_4ATVyLOELVeHP882L5aLLtL279u-hdWH81GvOXL6Z7t-EChpwt9mkTVhcntbmDYd1Cbnn3_Qlqmkpq |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Does+a+2.5-year+self-management+education+and+support+intervention+change+patterns+of+healthcare+use+in+African-American+adults+with+type+2+diabetes%3F&rft.jtitle=Diabetic+medicine&rft.au=Yeung%2C+R+O&rft.au=Oh%2C+M&rft.au=Tang%2C+T+S&rft.date=2014-04-01&rft.issn=1464-5491&rft.eissn=1464-5491&rft.volume=31&rft.issue=4&rft.spage=472&rft_id=info:doi/10.1111%2Fdme.12374&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0742-3071&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0742-3071&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0742-3071&client=summon |