Marketplace clinics complementing diabetes care for urban residing American Indians

Robert Rick, Robert E. Hoye, Raymond W. Thron, Vibha Kumar

Research output: Contribution to journalArticle

Abstract

Introduction: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. Objectives: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood. Methods: A controlled quasi-experimental study and 3-years retrospective analysis of secondary data were used to test whether the Minneapolis marketplace clinics and the community diabetes support group participants (n = 48) had improved diabetes health outcomes relative to the comparison group (n = 87). The marketplace complemented intervention group employed motivational interviewing and the patient activation measure (PAM®) in coaching diabetes self-care and behavioral modification. The federally funded comparison group received only basic self-management education. Results: T tests and effect sizes were used to quantify the difference between the study intervention and comparison groups. Statistical significance was determined for the following outcome variables: A1C (P < .01), body mass index (P < .04), and PAM® (P < .001). Discussion: Includes strengths, limitations, and future study recommendations. Conclusions: Positive effects of marketplace clinics and community health complementation were found with regard to improved blood glucose control, weight loss, and healthful lifestyle adaptation. Primary care and community health improvements could be realized by incorporating patient activation with diabetes prevention programs for the urban Indian two-thirds majority of the United States 5 million American Indian population.

Original languageEnglish (US)
Pages (from-to)198-205
Number of pages8
JournalJournal of Primary Care and Community Health
Volume8
Issue number4
DOIs
StatePublished - Oct 1 2017

Fingerprint

North American Indians
Patient Participation
Self-Help Groups
Self Care
Health
Motivational Interviewing
Urban Health
Education
Financial Support
Population
Blood Glucose
Life Style
Weight Loss
Primary Health Care
Body Mass Index
Delivery of Health Care

Keywords

  • Access to care
  • American Indian
  • Community health
  • Community-based
  • Complementary care
  • Diabetes
  • Marketplace clinic
  • Patient activation
  • Self-management education
  • Urban Indian

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Marketplace clinics complementing diabetes care for urban residing American Indians. / Rick, Robert; Hoye, Robert E.; Thron, Raymond W.; Kumar, Vibha.

In: Journal of Primary Care and Community Health, Vol. 8, No. 4, 01.10.2017, p. 198-205.

Research output: Contribution to journalArticle

Rick, Robert ; Hoye, Robert E. ; Thron, Raymond W. ; Kumar, Vibha. / Marketplace clinics complementing diabetes care for urban residing American Indians. In: Journal of Primary Care and Community Health. 2017 ; Vol. 8, No. 4. pp. 198-205.
@article{8a718782d7bd4dcdb6c6ba3d84bc3de1,
title = "Marketplace clinics complementing diabetes care for urban residing American Indians",
abstract = "Introduction: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. Objectives: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood. Methods: A controlled quasi-experimental study and 3-years retrospective analysis of secondary data were used to test whether the Minneapolis marketplace clinics and the community diabetes support group participants (n = 48) had improved diabetes health outcomes relative to the comparison group (n = 87). The marketplace complemented intervention group employed motivational interviewing and the patient activation measure (PAM{\circledR}) in coaching diabetes self-care and behavioral modification. The federally funded comparison group received only basic self-management education. Results: T tests and effect sizes were used to quantify the difference between the study intervention and comparison groups. Statistical significance was determined for the following outcome variables: A1C (P < .01), body mass index (P < .04), and PAM{\circledR} (P < .001). Discussion: Includes strengths, limitations, and future study recommendations. Conclusions: Positive effects of marketplace clinics and community health complementation were found with regard to improved blood glucose control, weight loss, and healthful lifestyle adaptation. Primary care and community health improvements could be realized by incorporating patient activation with diabetes prevention programs for the urban Indian two-thirds majority of the United States 5 million American Indian population.",
keywords = "Access to care, American Indian, Community health, Community-based, Complementary care, Diabetes, Marketplace clinic, Patient activation, Self-management education, Urban Indian",
author = "Robert Rick and Hoye, {Robert E.} and Thron, {Raymond W.} and Vibha Kumar",
year = "2017",
month = "10",
day = "1",
doi = "10.1177/2150131917720556",
language = "English (US)",
volume = "8",
pages = "198--205",
journal = "Journal of primary care & community health",
issn = "2150-1319",
publisher = "Sage Periodicals Press",
number = "4",

}

TY - JOUR

T1 - Marketplace clinics complementing diabetes care for urban residing American Indians

AU - Rick, Robert

AU - Hoye, Robert E.

AU - Thron, Raymond W.

AU - Kumar, Vibha

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Introduction: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. Objectives: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood. Methods: A controlled quasi-experimental study and 3-years retrospective analysis of secondary data were used to test whether the Minneapolis marketplace clinics and the community diabetes support group participants (n = 48) had improved diabetes health outcomes relative to the comparison group (n = 87). The marketplace complemented intervention group employed motivational interviewing and the patient activation measure (PAM®) in coaching diabetes self-care and behavioral modification. The federally funded comparison group received only basic self-management education. Results: T tests and effect sizes were used to quantify the difference between the study intervention and comparison groups. Statistical significance was determined for the following outcome variables: A1C (P < .01), body mass index (P < .04), and PAM® (P < .001). Discussion: Includes strengths, limitations, and future study recommendations. Conclusions: Positive effects of marketplace clinics and community health complementation were found with regard to improved blood glucose control, weight loss, and healthful lifestyle adaptation. Primary care and community health improvements could be realized by incorporating patient activation with diabetes prevention programs for the urban Indian two-thirds majority of the United States 5 million American Indian population.

AB - Introduction: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. Objectives: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood. Methods: A controlled quasi-experimental study and 3-years retrospective analysis of secondary data were used to test whether the Minneapolis marketplace clinics and the community diabetes support group participants (n = 48) had improved diabetes health outcomes relative to the comparison group (n = 87). The marketplace complemented intervention group employed motivational interviewing and the patient activation measure (PAM®) in coaching diabetes self-care and behavioral modification. The federally funded comparison group received only basic self-management education. Results: T tests and effect sizes were used to quantify the difference between the study intervention and comparison groups. Statistical significance was determined for the following outcome variables: A1C (P < .01), body mass index (P < .04), and PAM® (P < .001). Discussion: Includes strengths, limitations, and future study recommendations. Conclusions: Positive effects of marketplace clinics and community health complementation were found with regard to improved blood glucose control, weight loss, and healthful lifestyle adaptation. Primary care and community health improvements could be realized by incorporating patient activation with diabetes prevention programs for the urban Indian two-thirds majority of the United States 5 million American Indian population.

KW - Access to care

KW - American Indian

KW - Community health

KW - Community-based

KW - Complementary care

KW - Diabetes

KW - Marketplace clinic

KW - Patient activation

KW - Self-management education

KW - Urban Indian

UR - http://www.scopus.com/inward/record.url?scp=85041759688&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041759688&partnerID=8YFLogxK

U2 - 10.1177/2150131917720556

DO - 10.1177/2150131917720556

M3 - Article

C2 - 28707507

AN - SCOPUS:85041759688

VL - 8

SP - 198

EP - 205

JO - Journal of primary care & community health

JF - Journal of primary care & community health

SN - 2150-1319

IS - 4

ER -