Testing coached care for Latino and Vietnamese diabetics
The Foundation's initiative, Finding Answers: Disparities Research for Change, was designed to use research and evaluation to test hypothetical solutions for reducing racial and ethnic disparities in health care settings and actual disparity reduction outcomes in ongoing programs.The Coached Care for Diabetes Program (CCDP) aims to improve care and decrease disparities in Latinos and Asian Americans with type 2 diabetes. CCDP is currently being implemented among a geographically, economically and ethnically diverse population. The program is novel in its use of community-based "coaches" recruited from minority communities who themselves have type 2 diabetes. CCDP focuses on: (1) providing patients with individualized treatment information; (2) giving patients skills to negotiate a treatment regimen more consistent with their preferences, cultures and lifestyles; (3) giving patients skills for diabetes self-management; and (4) preparing the patients for a more active role in their care. In addition to patient self-care, CCDP also concentrates on the patient-provider interaction as a main target of intervention. CCDP focuses on problem areas of treatment and lifestyle modification that need to be identified, discussed and negotiated with the provider. The program specifically focuses on: (1) identifying decision options; (2) discussing the alternatives; (3) discussing patient and provider preferences; (4) arriving at a mutual decision; and (5) negotiating conflict. Because the program is linked to the patient's regular source of care, it may be sustained as a novel and culturally appropriate way to reach patients difficult to reach with traditional diabetes education. This may be a relatively low-cost way to empower patients. To determine the effectiveness of the program, the project team will measure patient, provider and clinic characteristics derived from surveys, audiotapes, chart reviews, laboratory tests and administrative data. This information will enable the team to assess diabetes quality of care processes and outcomes. If the program is efficacious and cost effective, it could serve as a model for improving chronic disease care in minority populations in community health centers with limited resources.
Amount Awarded $219,549.00
Awarded on: 11/29/2006
Time frame: 12/1/2006 - 5/31/2009
Grant Number: 59758