jueves, 11 de septiembre de 2014

Culturally Tailored Chronic Disease Education Program Improves African American Patients' Self-Management Behaviors, Blood Pressure and Blood Glucose Control, and Quality of Life | AHRQ Innovations Exchange

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Culturally Tailored Chronic Disease Education Program Improves African American Patients' Self-Management Behaviors, Blood Pressure and Blood Glucose Control, and Quality of Life | AHRQ Innovations Exchange

AHRQ Health Care Innovations



September 10, 2014 Issue
Improving Self-Management of Chronic Conditions

Improving Self-Management of Chronic Conditions

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Summary

The Health Empowerment Lifestyle Program (more commonly known as HELP) is a culturally tailored program to educate minority populations with diabetes, hypertension, or overweight/obesity about appropriate management of these conditions. Trained patient navigators who work in participating clinics recruit eligible patients and encourage their ongoing participation, while a trained community health worker leads nine weekly 2-hour classes held in the clinics. Topics cover various risk factors for the targeted conditions; key health indicators for monitoring them, including target levels; and the benefits of managing diet, physical activity, and medication. The curriculum is designed to be culturally and linguistically appropriate for African Americans and Latinos. To date, five 9-week sessions have been held with African-American participants in three South Side Chicago clinics. At these clinics, the program increased disease-related knowledge and self-confidence, which in turn led to improvement in short-term self-management behaviors and associated improvements in blood glucose, systolic blood pressure, and quality of life.

Evidence Rating (What is this?)

Moderate: The evidence consists of pre- and post-implementation comparisons of various metrics, including patient reports on disease-related knowledge, self-confidence, and various self-management behaviors; blood pressure and blood glucose control; and quality of life.

Developing Organizations

University of Illinois-Chicago School of Public Health

Date First Implemented

2013
In a pilot test, HELP operated in three clinics over a 9-week period from January to March 2013.

Patient Population

Race and Ethnicity > Black or african american; Hispanic/latino-latina; Vulnerable Populations > Immigrants; Non-english speaking/limited english proficiency; Racial minorities; Urban populations

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