| New models of self-management education for minority ethnic groups: pilot randomized trial of a story-sharing intervention. | |
| | |
MedLine Citation:
|
PMID: 20739577 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
OBJECTIVE: no model of self-management education or peer support has yet achieved widespread reach and acceptability with minority ethnic groups. We sought to refine and test a new complex intervention in diabetes education: informal story-sharing groups facilitated by bilingual health advocates. METHODS: pilot randomized trial with in-depth process evaluation in a socioeconomically deprived area. 157 people referred for diabetes education were randomized by concealed allocation to an intervention (story-sharing group in their own language) or control ('usual care' self-management education, through an interpreter if necessary) arm. Story-sharing groups were held in five ethnic languages and English (for African Caribbeans), and ran fortnightly for six months. Primary outcome was UKPDS (UK Prospective Diabetes Study) risk score. Secondary outcomes included attendance, HbA1c, well-being and enablement. Process measures included ethnographic observation, and qualitative interviews with staff and patients. RESULTS: some follow-up data were obtained on 87% of participants. There was no significant difference between intervention and control arms in biomedical outcomes. Attendance was 79% in the story-sharing arm and 35% in the control arm (p < 0.0001), and patient enablement scores were significantly higher (8.3 compared to 5.9, p < 0.005). The model was very popular with clinicians, managers and patients, which helped overcome numerous challenges to its successful embedding in a busy public sector diabetes service. CONCLUSION: people from minority ethnic groups in a socioeconomically deprived area were keen to attend informal story-sharing groups and felt empowered by them, but clinical outcomes were no better than with conventional education. Further research is needed to maximize the potential and evaluate the place of this appealing service model before it is introduced as a part of mainstream diabetes services. |
| | |
Authors:
|
Trisha Greenhalgh; Desirée Campbell-Richards; Shanti Vijayaraghavan; Anna Collard; Farida Malik; Mark Griffin; Joanne Morris; Anne Claydon; Fraser Macfarlane |
Related Documents
:
|
11489017 - Expanding the enablement framework and testing an evaluative instrument for diabetes pa... 7571557 - Sea-level physical activity and acute mountain sickness at moderate altitude. 11871627 - Structural and process quality in the management of diabetic emergencies in germany. 20695037 - Tricare; diabetic education. final rule. 17548847 - Acanthosis nigricans and diabetes risk factors: prevalence in young persons seen in sou... 7710727 - Anatomic sites of foot lesions resulting in amputation among diabetics and non-diabetics. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-25 |
Journal Detail:
|
Title: Journal of health services research & policy Volume: 16 ISSN: 1758-1060 ISO Abbreviation: J Health Serv Res Policy Publication Date: 2011 Jan |
Date Detail:
|
Created Date: 2010-12-27 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9604936 Medline TA: J Health Serv Res Policy Country: England |
Other Details:
|
Languages: eng Pagination: 28-36 Citation Subset: H |
Copyright Information:
|
The Royal Society of Medicine Press Ltd 2011. |
Affiliation:
|
Queen Mary University of London, London. p.greenhalgh@qmul.ac.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Genetic targeting of ERK1 suggests a predominant role for ERK2 in murine pain models.
Next Document: The effect of age on the outcomes of arthroscopic repair of type II superior labral anterior and pos...