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

K. Moore, L. Jiang, S.M. Manson, J. Beals, W. Henderson, K. Pratte, K.J. Acton and Y. Roubideaux

American Journal of Public Health, 2014, vol. 104, issue 11, e158-e164

Abstract: 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

Keywords: glycosylated hemoglobin; hemoglobin A1c protein, human; low density lipoprotein cholesterol; triacylglycerol, adolescent; adult; American Indian; blood; blood pressure; Cardiovascular Diseases; case management; Diabetic Angiopathies; female; human; male; middle aged; patient care; pilot study; prevention and control; risk reduction; smoking; United States; United States; young adult, Adolescent; Adult; Alaska; Blood Pressure; Cardiovascular Diseases; Case Management; Cholesterol, LDL; Diabetic Angiopathies; Female; Hemoglobin A, Glycosylated; Humans; Indians, North American; Male; Middle Aged; Patient Care Team; Pilot Projects; Risk Reduction Behavior; Smoking; Triglycerides; United States; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302108_8

DOI: 10.2105/AJPH.2014.302108

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