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The evaluation of a community-based group program for low-income diabetics and hypertensives
| Content Provider | Scilit |
|---|---|
| Author | Cohen, Rita Yopp |
| Copyright Year | 1982 |
| Description | Journal: American Journal of Community Psychology Two studies compared the effectiveness of a community-based, behavioral group program versus an individual patient-education program with low-income diabetic and hypertensive patients, respectively. The dependent variables measured patients' knowledge, disease management skills, and clinical outcomes. Patients in the group programs demonstrated greater gains in knowledge and disease management skills than did the control patients. However, there was no clinically signficant change in weight, blood pressure, or urinalysis results for any group of patients, The data suggest that group management is an effective mechanism for patient education but is not sufficiently reinforcing to induce change of habits, particularly when there are competing sources of reinforcement within the community. Throughout the 20th century, mortality from acute illnesses has decreased dramatically while, concomitantly, mortality attributable to chronic illnesses has risen (Bright, 1966). Two chronic diseases which affect a large proportion of the adult population are diabetes and hypertension. Diabetes is listed as the fifth leading cause of death in the United States (DHEW, 1969), and currently at least 20% of all individuals who visit a physician for any reason are diagnosed as having diabetes (Shipp, 1970). Hypertension affects approximately 25% of the adult population, and two-thirds of these individuals die of the complica |
| Ending Page | 539 |
| Starting Page | 527 |
| ISSN | 00221295 |
| e-ISSN | 15732770 |
| DOI | 10.1007/bf00894142 |
| Journal | American Journal of Community Psychology |
| Issue Number | 5 |
| Volume Number | 10 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 1982-10-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: American Journal of Community Psychology Social Sciences, Interdisciplinary Cause of Death Blood Pressure |
| Content Type | Text |
| Resource Type | Article |
| Subject | Physiology |
