American Association of Diabetes Educators

The Need: Controlling glycemic levels, blood pressure, and cholesterol through self-care behaviors including diet, exercise, and proper use of prescribed medications are the elements critical to managing the disease and avoiding complications. Diabetes self management education (DSME) teaches people with diabetes these self-care behaviors and the additional skills of monitoring, reducing risks, healthy coping, and problem-solving.

Although there is compelling evidence for the positive affect of DSME on glycemic control, both across the general population of persons with Type 2 diabetes and in high-disparity populations, the improvements gained from self-management programs typically do not persist in the long-term in the absence of follow-up interventions.

This program will fill two needs. The first is a need for culturally appropriate diabetes education targeted to high-disparity populations. The second is a need for on-going support for patients’ diabetes self-management.

The Project: This project will provide diabetes self-management education (DSME) and diabetes self-management support (DSMS) at four Federally Qualified Health Center (FQHC) sites serving geographic areas and target populations with disproportionately high rates of type 2 diabetes. These sites are currently certified for the delivery and reimbursement of DSMP and have provided DSMP to at least 128 clients in the last year. Each site will enroll 128 participants, for a total of 512 participants. All participants will receive DSME, and half of participants at each site will receive one year of supplemental support.

Project Leader: Ruth Lipman, rlipman@aadenet.org



Completed 2012

The Need: More so with diabetes than with any other chronic disease, self-management of the disease, as well as medical and other support mechanisms for the patient all play central roles in successful treatment. Patients must actively participate in the management of their diabetes. There is significant evidence that diabetes self-management education and other patient-level behavior change interventions play a strong role in improving health outcomes, particularly among minority populations. In addition, evidence is building to support the use of community health workers to help provide that education.

The Project: The AADE will design, implement and test the effectiveness of a culturally appropriate and replicable diabetes self-management education program conducted within a medical home model that serves a high disparity population of African Americans, Latinos and other underserved groups with diabetes. The pilot model comprises two interwoven strategies:

  1. a Coordinated Care Model based diabetes self-management education effort; and
  2. self-management education and ongoing support services delivered by a multi-level diabetes education team that includes an advanced practice diabetes educator, certified diabetes educator, non-certified diabetes educator, non-diabetes clinician and community health workers.

    This 12-month translation and operational research pilot will study the effectiveness of the intervention for 200 patients receiving care in 3-4 primary care practices.

Project Leader: Ruth Lipman, rlipman@aadenet.org