![]() 16, 17 Well-designed HIT interventions also have the potential to address obstacles specific to the medically underserved by tailoring DSME content to literacy, language and culture. 13 This level of glycemic improvement is similar to that achieved following DSME delivered face-to-face in low-income minority 14, 15 and general population studies. 12 Pooled findings from a recent systematic review and meta-analysis of 11 randomized controlled trials (RCTs) of HIT DSME interventions in the medically underserved demonstrated that HIT DSME was efficacious compared to controls, intervention subjects improved glycemic control at 6 months with smaller but sustained improvement at 12 months. One way to overcome these common barriers to DSME participation is by using health information technology (HIT) to deliver DSME in more convenient and accessible settings. 10įindings of a systematic review identified access, competing demands, language, literacy and cultural differences, 11 as reasons why adults with T2DM referred for DSME do not participate. 2, 3 Unfortunately, participation in DSME remains low, 4, 5 particularly for the medically underserved, broadly defined as those of racial/ethnic minorities6 and low-income populations, 7 with lower health literacy, who experience higher disease prevalence, 8 poorer glycemic control 9 and increased rates of diabetes complications. 1 To acquire the knowledge and skills needed to facilitate lifestyle changes and confidently make daily self-management decisions, formal diabetes self-management education (DSME) is recommended at diagnosis and as needed thereafter. ![]() Optimizing health-related behaviors is a fundamental aspect of effective management for people living with type 2 diabetes mellitus (T2DM).
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