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Translational Research Principles of an Effectiveness Trial for Diabetes Care in an Urban African American PopulationFrom the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (Dr Gary, Dr Brancati), and the Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland (Dr Hill-Briggs, Ms Batts-Turner, Dr Brancati). Correspondence to Tiffany L. Gary, 615 North Wolfe Street, Rm E6531, Baltimore, MD 21205 (tgary{at}jhsph.edu). Purpose Large-scale effectiveness trials designed to translate evidence-based diabetes care to community settings are few. Studies describing these methods among high-risk minority populations are particularly limited. Methods The authors describe Project Sugar, a randomized controlled trial conducted in 2 phases: Project Sugar 1 (1994-1999), which piloted a 4-arm clinic and home-based intervention using nurse case management and community health workers in 186 urban African Americans with type 2 diabetes, and Project Sugar 2 (2000-2005), which examined effectiveness of this intervention among 542 diabetic, urban African Americans. Results and Conclusions Project Sugar had success with regard to recruitment and retention, both in phase 1 (80% rate at 24 months) and phase 2 (>90% at 24 months). Using the RE-AIM framework, planning and research design for Project Sugar 2 is described in detail for elements that contributed to the reach, effectiveness, adoption, implementation, and maintenance of this study within a minority community setting. In addition to successful strategies, challenges to conducting effectiveness trials in an inner-city African American community are identified.
The Diabetes Educator, Vol. 31, No. 6,
880-889 (2005) This article has been cited by other articles:
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