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Everyone with Diabetes Counts (EDC) is a national disparities reduction program funded by the Centers for Medicare & Medicaid Services to improve outcomes in the underserved minority, diverse, and rural populations. This analysis evaluates West Virginia's pilot program of diabetes self-management education (DSME), one component of EDC. We frequency-matched 422 DSME completers to 1688 others by demographics and enrollment from Medicare fee-for service claims. We estimated savings associated with reduced hospitalizations in multivariable negative binomial models. DSME completers had 29% fewer hospitalizations (adjusted P < .0069). We estimated savings of $35 900 per 100 DSME completers in West Virginia.
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http://dx.doi.org/10.1097/FCH.0000000000000189 | DOI Listing |
Patient Educ Couns
May 2025
Department of Internal Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Caring for Complex Chronic Conditions Research Center, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; VA Center for Health Equity Research and Promotion, VA Pittsburgh Health Care Sy
Objectives: Diabetes self-management education (DSME) is effective in improving outcomes among adults with diabetes (AWD); but engagement in DSME has been lower among Hispanic AWD. We examined factors predicting engagement of Hispanic AWD in culturally tailored DSME that included a family/friend 'support person'.
Methods: 222 predominantly Hispanic AWD enrolled in DSME with a support person (SP), half of the AWD-SP pairs participated in pair-focused ('FAM-ACT') DSME and the others in patient-focused DSME.
J Educ Health Promot
August 2024
Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Background: Diabetes self-management education and support (DSMES) is an approach to improve preventive practices and behaviors with a focus on decision-making, problem-solving, and self-care. The present study was designed to appraisal structural standards of Diabetes Self-Management Education (DSME) in Isfahan province.
Materials And Methods: The sample size included 170 files of patients with diabetes in 31 diabetes education units.
Diabet Med
December 2024
Department of Diabetes and Endocrinology, St Helens Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, St Helens, UK.
Introduction: Structured diabetes self-management education (DSME) is internationally recommended for people with type 2 diabetes to support self-management and to prevent associated long-term complications. 'Attendance' at DSME is currently benchmarked as having completed a registration form and at least one active engagement with programme content, and 'completion' measured against ≥60% completion, despite landmark trials reporting outcomes based on the full completion of a programme. Little is known about the effectiveness of DSME on the psychological and emotional health of people with diabetes who complete less than the full DSME programme.
View Article and Find Full Text PDFJ Immigr Minor Health
August 2024
Department of Microbiology Anatomy Physiology and Pharmacology (MAPP), School of Agriculture Biomedicine and Environment (SABE), La Trobe University, Melbourne, Australia.
The aim of this review is to investigate barriers and enablers of diabetes self-management strategies among migrant Arabic-speaking background [ASB] individuals living with type 2 diabetes in high-income Western countries. Despite living in high-income Western countries, individuals from ASB are perceived to have difficulties adopting self-management strategies and this necessitates gaining an understanding of factors that may impact the uptake of these strategies. Ten studies are included in this review: five quantitative and five qualitative.
View Article and Find Full Text PDFTrials
October 2023
Sitaram Bhartia Institute of Science and Research, B-16 Qutab Institutional Area, New Delhi, 110016, India.
Introduction: Diabetes self-management education (DSME) helps patients self-manage their condition and improve outcomes/quality of life. However, access to DSME is limited, particularly in low-income areas. This study aims to develop a DSME training kit (EK-DIN), understand barriers to implementation, and evaluate the effectiveness and sustainability of community leader (CL)-based rollout using a stepped wedge cluster randomized trial format.
View Article and Find Full Text PDF