Alliance to Reduce Disparities in Diabetes

Evaluation: Diabetes For Life (Memphis, TN)

Research Questions and Measures

RESEARCH QUESTION MEASURES
What is the impact of multi-level interventions (diabetes self-management, nutrition and fitness education, and case management) on patient clinical and behavioral outcomes?
  • Changes in outcome data from patient questionnaire at baseline to 12-month follow-up. Patient questionnaire is a compilation of the following instruments:
    • Behavioral Risk Factor Surveillance System Survey Questionnaire1
    • Veterans RAND 12 Item Health Survey2
    • Duke University Religion Index3
    • Resources and Supports for Self-Management4
    • Stanford Chronic Disease Questionnaire5
    • Stanford Diabetes Self-Efficacy Scale6
    • Mid-South Social Survey7
    • Summary of Diabetes Self-Care Activities Measure8
    • Perceived Competence for Diabetes Scale9
  • Baseline and 12-month follow up changes in clinical data (HbA1c, lipid profile and blood pressure) collected from medical records and other screening venues
What is the impact of intensive provider training on the interaction between patient and provider?
  • Changes in provider knowledge prior to and following cultural competency and patient-centered communication training measured via pre and post-test on the same day instruction is given
  • Changes in Patient Assessment of Chronic Illness Care (PACIC)10 scores from baseline to follow-up over a 12 month period
Does implementing a collaborative model program in six primary care practices improve the delivery of diabetes care and outcomes for African Americans with Type 2 diabetes in Memphis and Shelby County?
  • Changes in Assessment of Primary Care Resources and Supports for Chronic Disease Management (PCRS)11 scores collected in 6 primary care practices from baseline to follow-up over a 12-month period
  • Changes in care delivery using Plan Do Study Act (PDSA) cycles from baseline to follow-up over a 12-month period

References

  1. Centers for Disease Control and Prevention (CDC). (2011). Behavioral Risk Factor Surveillance System Survey Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
  2. Kazis, L.E., Miller, D.R., Skinner, K.M., Lee, A., Ren, X.S., Clark, J.A., Rogers, W.H., Spiro III, A., Selim, A., Linzer, M., Payne, S.M,, Mansell, D., & Fincke, B.G. (2006). Applications of methodologies of the Veterans Health Study in the VA Health Care System: Conclusions and summary. Ambulatory Care Management, 29, 2182-2188.
  3. Koenig, H.G., & Büssing, A. (2010). The Duke University Religion Index (DUREL): A five-item measure for use in epidemological studies. Religions, 1(1), 78-85.
  4. McCormack, L.A., Williams-Piehota, P.A., Bann, C.M., Burton, J., Kamerow, D.B., Squire, C., et al. (2008). Development and validation of an instrument to measure resources and support for chronic illness self-management: A model using diabetes. Diabetes Educator, 34(4), 707-718.
  5. Stanford Patient Education Research Center, Stanford University School of Medicine. (2013). Sample Questionnaire: Chronic Disease. http://patienteducation.stanford.edu/research/cdquest.pdf.
  6. Stanford Patient Education Research Center, Stanford University School of Medicine. (2013). Diabetes Self-Efficacy Scale. http://patienteducation.stanford.edu/research/sediabetes.html.
  7. The University of Memphis Mid-South Survey Research Center. (2013). Mid-South Social Survey. http://www.memphis.edu/msss/.
  8. Toobert, D.J., Hampson, S.E., & Glasgow, R.E. (2000). The Summary of Diabetes Self-Care Activities Measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943-950.
  9. Williams, G.C., McGregor, H.A., Zeldman, A., Freedman, Z.R., & Deci, E.L. (2004). Testing a self-determination theory process model for promoting glycemic control through diabetes self-management. Health Psychology, 23(1), 58-66.
  10. Glasgow, R.E., Wagner, E.H., Schaefer, J., Mahoney, L.D., Reid, R.J., & Greene, S.M. (2005). Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Medical Care, 43(5), 436-444.
  11. Brownson, C.A., Miller, D., Crespo, R., Neuner, S., Thompson, J.C., Wall, J.C., Emont, S., Fazzone, P., Fisher, E.B., & Glasgow, R.E. (2007). Development and use of a quality improvement tool to assess self-management support in primary care. Joint Commission Journal on Quality and Patient Safety, 33(7), 408-416.

 

Presentations and Publications

2014 Presentations

Hartig, M.T., Johnson, P., Frazier, R., Clayton, M., Oliver, G., Nelson, B.W., & Williams-Cleaves, B.J. (2014, December). Faith-based support of T2DM self-management for African-Americans. Poster presentation at the 2014 Minority Health and Health Disparities Grantees' Conference, National Harbor, MD.

Johnson, P., Nelson, B.W. (2014, May). Assessing the impact of health literacy of health professionals engaged in a diabetes self-management program: The Diabetes for Life Project. Presentation at the Institute for Healthcare Advancement 13th Annual Health Literacy Conference, Irvine, CA.

2014 Publications

Johnson, P., Hartig, M.T., Frazier, R., Clayton, M., Oliver, G., Nelson, B.W., & Williams-Cleaves, B.J. (2014). Engaging faith-based resources to initiate and support diabetes self-management among African Americans: A collaboration of informal and formal systems of careHealth Promotion Practice, 15(2S), 71S-82S.

2013 Presentations

Johnson, P. & Berkley, A. (2013, August). Issues related to health disparities & its' role in self-management of type 2 diabetes. Presentation at the American Association of Diabetes Educators (AADE) Annual Meeting, Philadelphia, PA.

Johnson, P.  (2013, May). Diabetes conversation maps: Journey to better diabetes education. Presentation at the Institute for Healthcare Advancement's 12th Annual Health Literacy Conference, Irvine, CA.