Race Analysis in An African American Majority Sample of Individuals With Serious Mental Illness and Comorbid Diabetes Participating in a Self-Management Research Treatment Trail

Authors

Martha Sajatovic, Case Western Reserve UniversityFollow
Molly Howland, Case Western Reserve UniversityFollow
Douglas Gunzler, Case Western Reserve UniversityFollow
Kristin A. Cassidy, Case Western Reserve UniversityFollow
Richard McCormick, Case Western Reserve University
Thomas Scheidemantel, Case Western Reserve UniversityFollow
Charles Thomas, Case Western Reserve UniversityFollow
Carol Blixen, Case Western Reserve UniversityFollow
Neal V. DawsonFollow

Document Type

Article

Publication Date

9-1-2018

Abstract

Objectives: Targeted Training in Illness Management (TTIM) focuses on enhancing care engagement for people living with serious mental illness and diabetes. This secondary analysis from a 60-week, randomized controlled trial of TTIM versus treatment as usual evaluated racial subgroup outcomes. Method: Demographics, clinical characteristics, and diabetes status were evaluated for those self-identifying as non-Hispanic White, African American, and Hispanic. Longitudinal response to TTIM was evaluated using a multiple domain risk index. Due to their small sample size; those identifying as Hispanic were excluded from this analysis. Results: Non-Hispanic White participants had greater baseline socioeconomic advantages. Baseline risk scores, glycosylated hemoglobin (HbA1c) values, and HbA1c differences over time were similar for African American and non-Hispanic White participants. Conclusions and Implications for Practice: African American participants living with serious mental illness and diabetes receiving TTIM did as well as non-Hispanic White participants. Inclusive approaches that feature peer support and are situated in safety-net health care settings need to be further investigated with respect to potentially impacting health disparities.

Keywords

diabetes, health disparities, minority, race, serious mental illness

Language

English

Publication Title

Psychiatric Rehabilitation Journal

Grant

UL1 RR024989

Rights

© American Psychological Association, 2018. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. The final article is available, upon publication, at: https://doi.org/10.1037/prj0000314. Please refer to the publisher's site for terms of use.

Recommended Citation

Sajatovic, M., Howland, M., Gunzler, D., Kanuch, S. W., Cassidy, K. A., McCormick, R., Bauer, M. S., Scheidemantel, T., Thomas, C., Blixen, C., & Dawson, N. V. (2018). Race analysis in an African American sample with serious mental illness and comorbid diabetes. Psychiatric Rehabilitation Journal, 41(3), 246–252. https://doi.org/10.1037/prj0000314