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World J Diabetes. Jun 15, 2014; 5(3): 407-414
Published online Jun 15, 2014. doi: 10.4239/wjd.v5.i3.407
Published online Jun 15, 2014. doi: 10.4239/wjd.v5.i3.407
Impact of chronic disease self-management programs on type 2 diabetes management in primary care
Samuel N Forjuoh, Department of Family and Community Medicine, Baylor Scott and White Health, College of Medicine, Texas A&M Health Science Center, Temple, TX 76504, United States
Samuel N Forjuoh, Marcia G Ory, Department of Health Promotion and Community Health Sciences, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843, United States
Samuel N Forjuoh, Luohua Jiang, Ann M Vuong, Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843, United States
Jane N Bolin, Department of Health Policy and Management, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX 77843, United States
Author contributions: Forjuoh SN, Ory MG and Bolin JN conceptualized the study, acquired funding, provided supervision, interpreted the data, drafted the manuscript, and reviewed the final version; Jiang L and Vuong AM analyzed the data and assisted with data interpretation and manuscript preparation.
Supported by The National Institutes of Health’s National Institute on Minority Health and Health Disparities, No. #1P20MD002295
Correspondence to: Samuel N Forjuoh, MD, MPH, DrPH, FGCP, Department of Family and Community Medicine, Baylor Scott and White Health, College of Medicine, Texas A&M Health Science Center, 1402 West Ave H, Temple, TX 76504, United States. sforjuoh@sw.org
Telephone: +1-254-7717695 Fax: +1-254-7718493
Received: December 4, 2013
Revised: April 10, 2014
Accepted: April 16, 2014
Published online: June 15, 2014
Processing time: 194 Days and 15.1 Hours
Revised: April 10, 2014
Accepted: April 16, 2014
Published online: June 15, 2014
Processing time: 194 Days and 15.1 Hours
Core Tip
Core tip: Diabetes is a serious chronic disease. One of the most studied evidence-based behavioral or self-care programs targeting chronic conditions including diabetes is the Stanford Chronic Disease Self-Management Program (CDSMP). Although the CDSMP has been studied extensively, its impact on glycemic control has not been thoroughly evaluated in a randomized controlled trial to date. To the best of our knowledge, this is the first study to evaluate the effectiveness of the CDSMP in a randomized controlled trial. Our finding that the CDSMP intervention may not lower hemoglobin A1c any better than good routine care in an integrated healthcare system calls for further research.