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APHA Scientific Session and Event Listing

Recorded presentation

Brandy Sinco, MS¹, Michele Heisler, MD, MPA², Gloria Palmisano, BS, MA³, Michael Anderson³, Edith Kieffer, PhD¹, Michael Spencer, PhD¹, Jackie Two Feathers, PhD⁴, and Gwendolyn Graddy-Dansby, MD⁵. (1) School of Social Work, University of Michigan, 1080 S. University St., Room 3747, Box 183, Ann Arbor, MI 48109-1106, 734-763-7784, brsinco@umich.edu, (2) Division of General Medicine, Department of Internal Medicine, University of Michigan, VA HSR & D, PO Box 130170, Ann Arbor, MI 48113, (3) REACH-Detroit Partnership, 2727 Second Ave., Detroit, MI 48201, (4) University of New Mexico, 2723 Sierra Drive NE, Albuquerque, NM 87110, (5) Henry Ford Health System, One Ford Place, Detroit, MI 48201

Objective. Assess changes in health care satisfaction, knowledge, and receipt of recommended diabetes care among Latino and African American participants in the REACH Detroit intervention.

Methods. 180 Latino and African American persons with type 2 diabetes participated in a culturally tailored diabetes education program led by trained community health workers. Through surveys, we assessed changes between baseline and 12 month follow-up in satisfaction with healthcare providers, healthcare knowledge, and receipt of hemoglobin A1c, cholesterol, and microalbumin tests. McNemar chi-square and T statistics were used to assess unadjusted changes after baseline. Repeated measures models were used to identify correlates of change. For correlates of change, we looked at demographics, level of participation, health measures, and empowerment.

Results. Among the 111 participants who completed the intervention, satisfaction with one's primary care physician increased significantly (p < .001). 64% of the participants accurately reported receipt of hemoglobin A1c tests during the past year at the 12 month follow-up, compared to 49% at baseline (p < .05). The percentage of participants reporting not seeking medical care when they needed it dropped significantly from baseline to follow-up (p < .05). Receipt of microalbumin tests improved among the Latino participants (p < .05). There were no significant changes in the receipt of cholesterol and A1c tests.

Conclusion. A culturally tailored diabetes education program can improve participants' satisfaction and knowledge of healthcare and increase the receipt of some recommended tests.

Learning Objectives: Participants will be able to

• Describe correlates of change in healthcare satisfaction, knowledge, and receipt of diabetes care among intervention participants;
• Understand strategies that REACH Detroit community health workers used to contribute to change;
• Discuss implications for interventions aimed at reducing diabetes disparities among Latinos and African Americans.

Keywords: Health Disparities, Diabetes

Related Web page: www.reachdetroit.org

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation