ORIGINAL INVESTIGATION The Effects of a Nurse Case Manager and a Community Health Worker Team on Diabetic Control, Emergency Department Visits, and Hospitalizations Among Urban African Americans With Type 2 Diabetes Mellitus A Randomized Controlled Trial Tiffany L. Gary, PhD, MHS; Marian Batts-Turner, MSN, RN, CDE; Hsin-Chieh Yeh, PhD; Felicia Hill-Briggs, PhD; Lee R. Bone, MPH, RN; Nae-Yuh Wang, PhD; David M. Levine, MD, MPH, ScD; Neil R. Powe, MD, MBA, MPH; Christopher D. Saudek, MD; Martha N. Hill, PhD, RN; Maura McGuire, MD; Frederick L. Brancati, MD, MHS Background: Although African American adults bear Results: At baseline, participants had a mean age of 58 a disproportionate burden from diabetes mellitus (DM), years, 73% were women, and 50% were living in pov- few randomized controlled trials have tested culturally erty. At 24 months, compared with the minimal inter- appropriate interventions to improve DM care. vention group, those in the intensive intervention group were 23% less likely to have ER visits (rate difference [RD], Methods: We randomly assigned 542 African Ameri- −14.5; adjusted rate ratio [RR], 0.77; 95% confidence in- cans with type 2 DM enrolled in an urban managed care terval [CI], 0.59-1.00). In on-treatment analyses, the rate organization
JAMA Internal Medicine – American Medical Association
Published: Oct 26, 2009
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