Opportunities and challenges for diabetes prevention at two community health centers
Authors
Rosal, Milagros C.Benjamin, Evan M.
Pekow, Penelope S.
Lemon, Stephenie C.
von Goeler, Dorothea S.
UMass Chan Affiliations
Department of Medicine, Division of Preventive and Behavioral MedicineDocument Type
Journal ArticlePublication Date
2008-02-09Keywords
Adult*Community Health Centers
Delivery of Health Care
Diabetes Mellitus
Diabetes Mellitus, Type 2
Documentation
Health Knowledge, Attitudes, Practice
*Health Promotion
Humans
Interviews as Topic
Language
Medical Audit
Medical Records
Patient Education as Topic
Patient Selection
Teaching
Behavioral Disciplines and Activities
Community Health and Preventive Medicine
Life Sciences
Medicine and Health Sciences
Metadata
Show full item recordAbstract
OBJECTIVE: Translating evidence-based diabetes prevention interventions to disadvantaged groups is a public health priority that poses unique challenges. Community health centers (CHCs) provide unequaled opportunities to prevent diabetes among poor and minority high-risk groups. This formative study sought to assess structural, processes-of-care (health care quality domains), and patient factors that need to be considered for diabetes prevention at CHCs. RESEARCH DESIGN AND METHODS: A multimethod approach was implemented to assess system-, provider-, and patient-level factors at two large CHCs serving diverse urban communities. RESULTS: Medical chart audits (n = 303) showed limited documentation of risks. Provider surveys (n = 74) evidenced knowledge gaps regarding factors associated with increased diabetes risk, efficacy of pharmacological interventions, and low perceived efficacy in promoting patient behavior change. Patient focus groups (two groups) with at-risk Hispanics and African Americans suggested mixed knowledge regarding whether diabetes can be prevented, some knowledge gaps regarding factors related to risk, and multiple challenges for lifestyle change. CONCLUSIONS: Multiple and multilevel challenges to translating diabetes prevention interventions for the benefit of at-risk populations who seek care at CHCs were observed.Source
Diabetes Care. 2008 Feb;31(2):247-54. Epub 2007 Nov 5. Link to article on publisher's siteDOI
10.2337/dc07-0746Permanent Link to this Item
http://hdl.handle.net/20.500.14038/38388PubMed ID
17989311Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.2337/dc07-0746
Scopus Count
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