ArticleJournal of general internal medicine2013
Reducing racial/ethnic disparities in diabetes: the Coached Care (R2D2C2) project.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Clinical inertia in the pharmacological management of hypertension: A systematic review and meta-analysis.Medicine · 2018Pooled it
- Trial
- Racial/Ethnic Disparities in Access to Transportation Among Persons with Type 2 Diabetes Mellitus.Journal of racial and ethnic health disparities · 2026Article
- Barriers and Facilitators to Breast and Cervical Cancer Screenings for Hispanic Women in a Rural State.Journal of racial and ethnic health disparities · 2025Article
- Demographic Variables Associated With Diabetes Technology Awareness or Use in Adults With Type 2 Diabetes.Diabetes spectrum : a publication of the American Diabetes Association · 2024Article
- Perceived Risk of Diabetes Among Vietnamese Americans With Prediabetes: Mixed Methods Study.Asian/Pacific Island nursing journal · 2023Article
- Food insecurity, diabetes, and perceived diabetes self-management among Latinos in California: Differences by nativity and duration of residence.Preventive medicine reports · 2022Article
- Feasibility and Acceptability of a Digital Patient-Reported Outcome Tool in Routine Outpatient Diabetes Care: Mixed Methods Formative Pilot Study.JMIR formative research · 2021Article
- Population segmentation of type 2 diabetes mellitus patients and its clinical applications - a scoping review.BMC medical research methodology · 2021Article
- Patient Activation and Glycemic Control Among Filipino Americans.Health equity · 2021Article
- Can the Routine Use of Patient-Reported Outcome Measures Improve the Delivery of Person-Centered Diabetes Care? A Review of Recent Developments and a Case Study.Current diabetes reports · 2019Review
- Material Need Insecurity and Its Concurrent Barriers to Diabetes Management Among Low-Income Latino Adults Receiving Medical Care.Diabetes care · 2019Article
- Evaluating the Validity and Reliability of the Beliefs About Medicines Questionnaire in Low-Income, Spanish-Speaking Patients With Diabetes in the United States.The Diabetes educator · 2017Observational
- Self-Care Disparities Among Adults with Type 2 Diabetes in the USA.Current diabetes reports · 2016Review
- Contributors to Patients' Ratings of Quality of Care Among Ethnically Diverse Patients with Type 2 Diabetes.Journal of immigrant and minority health · 2016Article
- Racial and Economic Disparities in Diabetes in a Large Primary Care Patient Population.Ethnicity & disease · 2016Article
- Costs and beliefs: understanding individual- and neighborhood-level correlates of medication nonadherence among Mexican Americans with type 2 diabetes.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2014Article
- Complementary and alternative medicine (CAM) use among non-Hispanic white, Mexican American, and Vietnamese American patients with type 2 diabetes.Journal of health care for the poor and underserved · 2014Article
- Geographic clustering of diabetic lower-extremity amputations in low-income regions of California.Health affairs (Project Hope) · 2014Article
- Capsule commentary on Kaplan et al., reducing racial/ethnic disparities in diabetes: the Coached Care (R2D2C2) project.Journal of general internal medicine · 2013Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDespite numerous efforts to change healthcare delivery, the profile of disparities in diabetes care and outcomes has not changed substantially over the past decade.
objectiveTo understand potential contributors to disparities in diabetes care and glycemic control.
designCross sectional analysis.
settingSeven outpatient clinics affiliated with an academic medical center. PATIENTS: Adult patients with type 2 diabetes who were Mexican American, Vietnamese American or non-Hispanic white (n = 1,484). MEASUREMENTS: Glycemic control was measured as hemoglobin A1c (HbA1c) level. Patient, provider and system characteristics included demographic characteristics; access to care; quality of process of care including clinical inertia; quality of interpersonal care; illness burden; mastery (diabetes management confidence, passivity); and adherence to treatment.
resultsUnadjusted HbA1c values were significantly higher for Mexican American patients (n = 782) (mean = 8.3 % [SD:2.1]) compared with non-Hispanic whites (n = 389) (mean = 7.1 % [SD:1.4]). There were no significant differences in HbA1c values between Vietnamese American and non-Hispanic white patients. There were no statistically significant group differences in glycemic control after adjustment for multiple measures of access, and quality of process and interpersonal care. Disease management mastery and adherence to treatment were related to glycemic control for all patients, independent of race/ethnicity. LIMITATIONS: Generalizability to other minorities or to patients with poorer access to care may be limited.
conclusionsThe complex interplay among patient, physician and system characteristics contributed to disparities in HbA1c between Mexican American and non-Hispanic white patients. In contrast, Vietnamese American patients achieved HbA1c levels comparable to non-Hispanic whites and adjustment for numerous characteristics failed to identify confounders that could have masked disparities in this subgroup. Disease management mastery appeared to be an important contributor to glycemic control for all patient subgroups.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.