Case Management to Reduce Cardiovascular Disease Risk in American Indians and Alaska Natives With Diabetes

Results From the Special Diabetes Program for Indians Healthy Heart Demonstration Project

Bibliographic Data

ID11033331
AuthorsKelly Moore (0000-0003-0707-3766, Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), Kelly R Moore (0000-0001-5450-2063, Native Health), Luohua Jiang (0000-0002-2281-7260, Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), M Manson (0000-0001-6194-1961, Native Health), Spero M Manson (Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), Janette Beals (Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), William G Henderson (Native Health), William Henderson (0000-0001-5355-606X, Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), Katherine Pratte (0000-0003-3358-8907, Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), Kelly J Acton (Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...), Yvette Roubideaux (Kelly Moore, Spero M. Manson, Janette Beals, William Henderson, and Katherine Pratte are with the Centers for American Indian and Alaska Native Health, School of Public Health, University of Colorado Denver, Aurora. Luohua Jiang is with the Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, College Station. Kelly J. Acton is with the Office of the Assistant Secretary of Health, US Department of Health and Human Services, San Francisco, CA. Yvette...)
Year2014
Volume104
Issue11
Pagese158-e164
Publication date2014-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302108
PMID25211728
PMCIDPMC4202936
OpenAlexW2049739036
LanguageEN
Citations received6
References cited34

Objectives. We evaluated cardiovascular disease (CVD) risk factors in American Indians/Alaska Natives (AI/ANs) with diabetes in the Special Diabetes Program for Indians Healthy Heart (SDPI-HH) Demonstration Project. Methods. Multidisciplinary teams implemented an intensive case management intervention among 30 health care programs serving 138 tribes. The project recruited 3373 participants, with and without current CVD, between 2006 and 2009. We examined data collected at baseline and 1 year later to determine whether improvements occurred in CVD risk factors and in Framingham coronary heart disease (CHD) risk scores, aspirin use, and smoking status. Results. A1c levels decreased an average of 0.2% (P Conclusions. SDPI-HH successfully translated an intensive case management intervention. Creative retention strategies and an improved understanding of organizational challenges are needed for future Indian health translational efforts

Aspirin · Blood pressure · Diabetes mellitus · Disease · Environmental health · Framingham Risk Score · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Endocrinology · Indigenous Health, Education, and Rights · Internal Medicine · Medicine · Gerontology

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