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The Diabetes Educator, Vol. 29, No. 3, 467-479 (2003)
DOI: 10.1177/014572170302900311
© 2003 American Association of Diabetes Educators; Published by SAGE Publications

A Systematic Review of Diabetes Self-Care Interventions for Older, African American, or Latino Adults

Catherine A. Sarkisian, MD, MSPH

UCIA Department of Medicine, Division of Geriatrics, 10945 Le Conte Avenue, Suite 2339, Los Angeles, CA 90095-1687 csarkisian{at}mednet.ucla.edu

Arieen F. Brown, MD, PhD

Division of General Internal Medicine and Health Services Research, Los Angeles, CA

Keith C. Norris, MD

Deparment of Medicine, UCLA School of Medicine, Los Angles Cahfora; Department of Internal Medicine, Chares Drew School of Medicine, Los Angeles, CA

Ruth L. Wintz, MD

Division of Nephrology, Los Angeles, CA.

Carol M. Managione, MD, MSPH

Division of Geriatrics, Los Angeles, CA; Division of General Internal Medicine and Health Services Research, Los Angeles, CA

PURPOSE

this study system dente and exained published self-care ntetion desgd to *nrv glycenu control or quality of life (QoL) among ole, African Americn or Latino adults.

METHODS

Six electronic databases were searchecl Eligible publicato were thoe that described an intervnin to change knowledge, belie, or behavior among adults with diabetes who were either older than 55 years, African American, or Latino, and that measured the outcomes ofglyeic control or QoL.

RESULTS

Twelve studies met the inclusion criteria, of which 8 were rdomized conrlld trials (RCTs). Of the 8 RCTs, i7provd glycemic control was reported in the intervention arm of S RCTs comparedwith the control arm Of the 4 RCTs theat amined QoL, inprd QoL was reported in the idention ann of 1 study Charaaristics of sssid inter dio s ed poor glcmvic control at baseline (AlC>1 1%), adtural or agetaioring the inevto use of group counseling or support, and inzdmt of spouses and adult children.

CONCLUSIONS

Large-scale cinial trials designed according to aural and age cieria speciic for older Ltins and African Americas uh diabetes are needed to determine hbow best to adess this growing publc heath problem.


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