Evidence map›Paper›PMID 32849940›Full record

ArticleJournal of clinical medicine research2020

Impact of a Culturally Tailored Diabetes Education and Empowerment Program in a Mexican American Population Along the US/Mexico Border: A Pragmatic Study.

Silvia Flores-Luevano, Maricela Pacheco, Gurjeet S Shokar, Alok Kumar Dwivedi, Navkiran K Shokar

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Journal of clinical medicine research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05754008 (A Randomized Trial of Care Navigator to Support Younger Latinx Adults Newly Diagnosed With Type 2 Diabetes), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05754008 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Trial of Care Navigator to Support Younger Latinx Adults Newly Diagnosed With Type 2 Diabetes (AURORA)

TypeinterventionalSponsorKaiser PermanenteRan2023 to 2025Enrolled204ConditionsDiabetes Mellitus, Type 2ArmsAURORA Care Strategy
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. The Role of Family in Diabetes Management for Mexican American Adults.Hispanic health care international : the official journal of the National Association of Hispanic Nurses · 2024
    Article
  8. Feasibility and Outcomes ofInternational journal of environmental research and public health · 2023
    Article
  9. Risk Factors Associated with Diabetes among Mexican-Origin Adults in Southern Arizona.International journal of environmental research and public health · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Silvia Flores-LuevanoDepartment of Molecular and Translational Medicine and Family and Community Medicine, Texas Tech University Health Sciences Center, El Paso, TX 79924, USA.
Maricela PachecoChristus Health TX A&M College of Medicine Spohn Hospital, Family Medicine Residency, 600 Elizabeth Street, Corpus Christi, TX 78404, USA.
Gurjeet S ShokarDepartment of Family and Community Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX 79924, USA.
Alok Kumar DwivediDivision of Biostatistics and Epidemiology, Department of Molecular and Translational Medicine, Paul L. Foster School of Medicine, Biostatistics and Epidemiology Consulting Lab (BECL), Texas Tech University Health Sciences Center El Paso (TTUHSC EP), El Paso, TX 79905, USA.
Navkiran K ShokarFamily & Community Medicine & Department of Molecular and Translational Medicine, Center of Emphasis for Cancer, El Paso, TX 79924, USA.
Texas Tech University · USChristus Health · USTexas Tech University Health Sciences Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study purpose was to deliver a diabetes education program under real world conditions and evaluate its effect on diabetes-related clinical, self-management and psychosocial outcomes among Mexican Americans residing along the US/Mexico border.

methodsA pragmatic study was conducted among adult patients with diabetes in three primary care clinics located along the US/Mexico border. A bilingual culturally tailored diabetes education program incorporating hands-on participatory techniques was delivered in 4 - 8 weekly group sessions. Clinical, self-management and psychosocial outcomes were evaluated pre- and post-intervention with surveys and medical record review.

resultsA total of 209 participants were enrolled; mean age was 58.9 years (range 23 - 94, standard deviation: 11.2); 68.4% were female; 91.1% were Hispanic. Significant improvements were observed in glycated hemoglobin (-1.1%, P < 0.001, n = 79), total cholesterol (-17.2 mg/dL, P = 0.041, n = 63), glucose self-monitoring (+1.3 times a week, P = 0.021, n = 115), exercise less than once a week (-18.2%, P < 0.001, n = 129), nutritional behavior (+2.23, P < 0.001, n = 115), knowledge (+1. 83, P < 0.001, n = 141) and diabetes-related emotional distress (-7.32, P = 0.002, n = 111). Benefits were observed with attendance rates as low as 50%.

conclusionA clinic-based culturally competent diabetes education/self-management program resulted in significant improvements in outcomes among Hispanic participants. Experimentally tested culturally appropriate interventions adapted for real world situations can benefit Mexican American diabetic patients even when attendance is imperfect.

Indexed as

Culturally competent interventionsDiabetes self-management educationHealth educationHispanicsMexican AmericanType 2 diabetes

Identifiers

PMID32849940
PMCPMC7430876
OpenAlexW3043945540

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.