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West J Nurs Res ; 42(2): 117-124, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31084287

RESUMO

In the United States, diabetes is epidemic. A study of Latinxs with diabetes evaluated a behavioral shared medical appointment (SMA) intervention. This quasi-experimental study included nonrandomized matched control group participants receiving usual care. The nonprobability convenience sample consisted of 90 participants (SMA = 30; control = 60) receiving primary care at an FQHC (Federally Qualified Health Center) clinic. At 6 months, the percentage of participants achieving target A1C goals was greater in the intervention group (59%) than in the control group (31%; χ2 = 4.462, p ≤ .05). In a multiple regression model, the SMA intervention group, compared to the control group had an A1C decline at 3 months of 0.55% (b = - 0.55, t = - 1.48, p=.14) and an A1C decline at 6 months of 0.83% (b= - 0.83, t= - 2.25, p = .03). Therefore, the results showed 3- and 6-month declines that were greater in the SMA group than in the control group. Underserved, underinsured Latinxs in the ALDEA program achieved significant A1C reductions; the program succeeded in empowering Latino patients and improving glycemic control.


Assuntos
Diabetes Mellitus Tipo 2/terapia , Hemoglobinas Glicadas , Disparidades em Assistência à Saúde , Hispânico ou Latino/estatística & dados numéricos , Provedores de Redes de Segurança , Consultas Médicas Compartilhadas/tendências , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Hemoglobinas Glicadas/análise , Humanos , Masculino , Pessoa de Meia-Idade , Profissionais de Enfermagem , Atenção Primária à Saúde , Estados Unidos/epidemiologia , Populações Vulneráveis
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