Abstract

Objective: In an underserved Latino area we established a disease management program and proved its effectiveness. However, many patients still remained above target. This study was designed to evaluate which factors are associated with reaching program goals.

Methods: Randomized, prospective, observational study in which patients enrolled in our program were followed for two years with outcomes measures and questionnaires assessed at baseline, 6, 12 and 24 months.

Results: Overall HbA1c levels fell by 1%. Adherence to medication was the strongest predictor of reaching the target HbA1c of <8%; baseline HbA1c level was also predictive. Knowledge scores increased in those who reached target but the measures of self-efficacy and empowerment did not change for either group.

Conclusion: Diabetes disease management is effective in a lower income Latino population. However, adherence was suboptimal even when medications are provided on-site for free. Further research into barriers associated with medication adherence is needed.