Educational attainment moderates the effect of a brief diabetes self-care intervention
Abstract Aims Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shi...
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| Veröffentlicht in: | Diabetes research and clinical practice 2012-01, Vol.95 (1), p.62-67 |
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| container_title | Diabetes research and clinical practice |
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| creator | Sacco, William P Bykowski, Cathy A Mayhew, Laura L White, Kristi E |
| description | Abstract Aims Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes. Methods Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c. Results A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group. Conclusions People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment. |
| doi_str_mv | 10.1016/j.diabres.2011.08.027 |
| format | Article |
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Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes. Methods Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c. Results A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group. Conclusions People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment.</description><identifier>ISSN: 0168-8227</identifier><identifier>EISSN: 1872-8227</identifier><identifier>DOI: 10.1016/j.diabres.2011.08.027</identifier><identifier>PMID: 21992869</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Adult ; Blood Glucose ; Brief intervention ; Counseling ; Diabetes ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - psychology ; Diabetes Mellitus, Type 2 - therapy ; Educational attainment ; Educational Status ; Endocrinology & Metabolism ; Female ; Glycated Hemoglobin A - metabolism ; Hemoglobin A1c ; Humans ; Male ; Middle Aged ; Self Care - psychology ; Self-care ; Treatment Outcome</subject><ispartof>Diabetes research and clinical practice, 2012-01, Vol.95 (1), p.62-67</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2011 Elsevier Ireland Ltd</rights><rights>Copyright © 2011 Elsevier Ireland Ltd. 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Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes. Methods Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c. Results A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group. Conclusions People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment.</description><subject>Adult</subject><subject>Blood Glucose</subject><subject>Brief intervention</subject><subject>Counseling</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Educational attainment</subject><subject>Educational Status</subject><subject>Endocrinology & Metabolism</subject><subject>Female</subject><subject>Glycated Hemoglobin A - metabolism</subject><subject>Hemoglobin A1c</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Self Care - psychology</subject><subject>Self-care</subject><subject>Treatment Outcome</subject><issn>0168-8227</issn><issn>1872-8227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcmOFSEUhonR2NfWR9Cwc1XlgaKqYKMxnXZIOnHhsCUMh8i1hhaoTvrtpbxXF25cQcI_HL5DyHMGLQM2vDq2PhqbMLccGGtBtsDHB-TA5Mgbyfn4kByqTv6-X5AnOR8BYOhE_5hccKYUl4M6kG_XfnOmxHUxEzWlmLjMuBQ6rx6TKZhp-Y4UQ0BX6BqooTZFDHQvx_054xQaZxLSuBRMd9Vcw56SR8FMGZ-dz0vy9d31l6sPzc2n9x-v3t40TjBVGmnEaJUaeiGUHQ3joMLIDAivbI_QyYH1jCsnoPfW2x6YsXX0kfMuCImuuyQvT7m3af25YS56jtnhNJkF1y1rxfioBt53VdmflC6tOScM-jbF2aR7zUDvRPVRn4nqnagGqSvR6ntxbtjsjP6v6w_CKnhzEmD9513EpLOLuDj0MVVo2q_xvxWv_0lwU1yiM9MPvMd8XLdUt5M105lr0J_3te5bZQxASAHdL5xZnmc</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Sacco, William P</creator><creator>Bykowski, Cathy A</creator><creator>Mayhew, Laura L</creator><creator>White, Kristi E</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120101</creationdate><title>Educational attainment moderates the effect of a brief diabetes self-care intervention</title><author>Sacco, William P ; Bykowski, Cathy A ; Mayhew, Laura L ; White, Kristi E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-8a47b9965449b7a1209f71a04d9b5e038615129c405dbdb501ab1997223f48ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Blood Glucose</topic><topic>Brief intervention</topic><topic>Counseling</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Educational attainment</topic><topic>Educational Status</topic><topic>Endocrinology & Metabolism</topic><topic>Female</topic><topic>Glycated Hemoglobin A - metabolism</topic><topic>Hemoglobin A1c</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Self Care - psychology</topic><topic>Self-care</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sacco, William P</creatorcontrib><creatorcontrib>Bykowski, Cathy A</creatorcontrib><creatorcontrib>Mayhew, Laura L</creatorcontrib><creatorcontrib>White, Kristi E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diabetes research and clinical practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sacco, William P</au><au>Bykowski, Cathy A</au><au>Mayhew, Laura L</au><au>White, Kristi E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Educational attainment moderates the effect of a brief diabetes self-care intervention</atitle><jtitle>Diabetes research and clinical practice</jtitle><addtitle>Diabetes Res Clin Pract</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>95</volume><issue>1</issue><spage>62</spage><epage>67</epage><pages>62-67</pages><issn>0168-8227</issn><eissn>1872-8227</eissn><abstract>Abstract Aims Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes. Methods Randomized clinical trial. Participants (N = 62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c. Results A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group. Conclusions People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>21992869</pmid><doi>10.1016/j.diabres.2011.08.027</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0168-8227 |
| ispartof | Diabetes research and clinical practice, 2012-01, Vol.95 (1), p.62-67 |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Blood Glucose Brief intervention Counseling Diabetes Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - psychology Diabetes Mellitus, Type 2 - therapy Educational attainment Educational Status Endocrinology & Metabolism Female Glycated Hemoglobin A - metabolism Hemoglobin A1c Humans Male Middle Aged Self Care - psychology Self-care Treatment Outcome |
| title | Educational attainment moderates the effect of a brief diabetes self-care intervention |
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