Understanding the Environmental Issues in Diabetes Self-Management Education Research: A Reexamination of 8 Studies in Community-Based Settings

From the National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia; Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, California; and The Pennsylvania State University, University Park, Pennsylvania.

View larger version:
- In this window
- In a new window
Figure 1. Ovals indicate intervention, rectangles with rounded corners indicate intermediate outcomes, and rectangles with squared corners indicate short- or long-term outcomes. Solid lines represent links that were examined in the review. Dashed lines represent linkages that were not examined, for which other published literature was used to demonstrate relationships. Reprinted from reference : Am J Prev Med. 2002;222(4 Suppl):39-66. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L, et al. Increasing diabetes self-management education in community settings. A systematic review. Copyright 2002, with permission from . Analytical framework for diabetes self-management education interventions (DSME).2American Journal of Preventive Medicine
View larger version:
- In this window
- In a new window
Figure 2. Reprinted from reference : Jack L Jr, Liburd L, Vinicor F, Brody G, Murry VM. Influence of the environmental context on diabetes self-management: a rationale for developing a new research paradigm in diabetes education. Diabetes Educ. 1999;25:775-7, 779-80, 782 passim; with permission from . Cultural, environmental, and biomedical synthesis of diabetes self-management.27The Diabetes Educator