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- Title
Understanding the environmental issues in diabetes self-management education research: a reexamination of 8 studies in community-based settings.
- Authors
Jack, Leonard, Jr; Liburd, Leandris; Spencer, Tirzah; Airhihenbuwa, Collins O
- Abstract
Eight studies included in a recent systematic review of the efficacy of diabetes self-management education were qualitatively reexamined to determine the presence of theoretical frameworks, methods used to ensure cultural appropriateness, and the quality of the instrument. Theoretical frameworks that help to explain complex pathways that produce health outcomes were lacking; culture indices were not incorporated into diabetes self-management education; and the instruments used to measure outcomes were inadequate. We provide recommendations to improve research on diabetes self-management education in community settings through use of a contextual framework that encourages targeting multiple levels of influence--individual, family, organizational, community, and policy.
- Publication
Annals of internal medicine, 2004, Vol 140, Issue 11, p964
- ISSN
1539-3704
- Publication type
Journal Article
- DOI
10.7326/0003-4819-140-11-200406010-00038