The Feasibility and Acceptability of a Diabetes Survival Skills Intervention for Persons Transitioning from Prison to the Community.
Community evidenced-based diabetes self-management education (DSME) models have not been examined for feasibility, acceptability, or effectiveness among persons transitioning from prison to the community to independent diabetes self-management (DSM). In a non-equivalent control group design with rep...
| Published in: | Journal of Racial & Ethnic Health Disparities Vol. 11; no. 2; pp. 1014 - 1024 |
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| Main Authors: | , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Springer Nature
Apr2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176005416&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176005416 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21973792 GQHQ jtl: Journal of Racial & Ethnic Health Disparities issn: 21973792 maglogo: N pubinfo: dt: Apr2024 vid: 11 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 176005416 163581548 176005416 176005416 10.1007/s40615-023-01581-x 176005416 ppf: 1014 ppct: 10 formats: tig: atl: The Feasibility and Acceptability of a Diabetes Survival Skills Intervention for Persons Transitioning from Prison to the Community. aug: au: Reagan, Louise Laguerre, Rick Todd, Sarah Gallagher, Colleen affil: https://ror.org/02der9h97 University of Connecticut School of Nursing, 231 Glenbrook Road, U-4026, Storrs, CT, USA sug: subj: Prisoners Education Diabetes Education Incarceration Self-Management Human Repeated Measures Quasi-Experimental Studies Questionnaires Clinical Assessment Tools Descriptive Statistics Data Analysis Software Two-Way Analysis of Variance Funding Source Clinical Trials ab: Community evidenced-based diabetes self-management education (DSME) models have not been examined for feasibility, acceptability, or effectiveness among persons transitioning from prison to the community to independent diabetes self-management (DSM). In a non-equivalent control group design with repeated measures, we examined the feasibility, acceptability, and preliminary effect of a 6-week, 1-h per week Diabetes Survival Skills (DSS) intervention on diabetes knowledge, distress, self-efficacy, and outcome expectancy for transitioning incarcerated males. Of the 92 participants (84% T2D, 83% using insulin, 40% Black, 20% White, 30% Latino, 66% high school or less, mean age 47.3 years, 84% length of incarceration ≤4 years), 41 completed the study (22 control/19 intervention [TX]). One-way repeated measures ANOVAs revealed significant changes in diabetes knowledge within each group (C, p =.002; TX, p =.027) at all time points; however, a two-way repeated measures ANOVA showed no differences between groups. Additionally, both groups showed improvement in diabetes-related distress and outcome expectancy with the treatment group experiencing greater and sustained improvement at the 12-week time point. Analysis of focus group data (Krippendorf) revealed acceptance of and enthusiasm for the DSS training and low literacy education materials, the need for skill demonstration, and ongoing support throughout incarceration and before release. Our results highlight the complexity of working with incarcerated populations. After most of the sessions, we observed some information sharing between the intervention and the control groups on what they did in their respective sessions. Due to high attrition, the power to detect effects was limited. Yet, results suggest that the intervention is feasible and acceptable with an increased sample size and refined recruitment procedure. NCT05510531, 8/19/2022, retrospectively, registered pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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