Improving the implementation of diabetes self-management: Findings from the Alliance to Reduce Disparities in Diabetes
Lewis, M., Williams, P., Fitzgerald, T., Heminger, C., Hobbs, C., Moultrie, R., ... Kamerow, D. B. (2014). Improving the implementation of diabetes self-management: Findings from the Alliance to Reduce Disparities in Diabetes. Health Promotion Practice, 15(2), 83S-91S. DOI: 10.1177/1524839914541277
To enhance the health and well-being of patients managing type 2 diabetes, the five grantees comprising the Alliance to Reduce Disparities in Diabetes implemented evidence-based approaches to patient self-management education as part of their programs. This article describes strategies implemented by the grantees that may help explain program success, defined as improvement in clinical values and patient-reported outcomes. A process evaluation of grantee programs included interviews and document review at the beginning, midpoint, and end of the Alliance initiative. A total of 97 interviews were conducted over time with 65 program representatives. The Alliance programs served 2,328 people from diverse racial and ethnic backgrounds and provided 36,826 diabetes self-management sessions across the intervention sites. Framework analysis of the interviews identified four key themes that emerged across time and program sites that may help account for program success: empowerment, increasing access and support, addressing local needs and barriers, and care coordination. The overall evaluation findings may help other diabetes self-management programs seeking to translate and implement evidence-based approaches to reduce disparities and enhance patient well-being.