Improving Glycemic Control in African Americans With Diabetes and Mild Cognitive Impairment.

ABSTRACT:

Background/objectives

Improving glycemic control in older African Americans with diabetes and mild cognitive impairment (MCI) is important as the population ages and becomes more racially diverse.

Design

Randomized controlled trial.

Setting

Recruitment from primary care practices of an urban academic medical center. Community-based treatment delivery.

Participants

Older African Americans with MCI, low medication adherence, and poor glycemic control (N = 101).

Interventions

Occupational therapy (OT) behavioral intervention and diabetes self-management education.

Measurements

The primary outcome was a reduction in hemoglobin A1c level of at least 0.5% at 6 months, with maintenance effects assessed at 12 months.

Results

At 6 months, 25 of 41 (

SUBMITTER: Rovner BW 

PROVIDER: S-EPMC8311466 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature