Publications by authors named "Kelli Grunstra"
Article Synopsis
- Chronic obstructive pulmonary disease (COPD) is a major health issue in low- and middle-income countries, with health systems not adequately prepared for its rising prevalence.
- A study involving 239 participants in Nepal, Peru, and Uganda tested a community health worker-supported self-management program against standard care over one year, focusing on various health outcomes including the St. George's Respiratory Questionnaire (SGRQ) score.
- Results showed no significant improvement in the SGRQ scores between the two groups after one year, with higher hospitalizations in the intervention group, suggesting the need for a reevaluation of strategies to effectively manage COPD in these settings.
Background: Disparities in diagnosis and control of type 2 diabetes mellitus are most evident in African Americans (AAs) with lower socioeconomic status. Health literacy is an important predictor of adequate self-management and control of diabetes. The purpose of this pilot study was to test the feasibility and preliminary efficacy of a health literacy-enhanced diabetes intervention, PLAN 4 Success (Prevention through Lifestyle intervention And Numeracy)-Diabetes, in inner-city, low-income AAs with uncontrolled type 2 diabetes.
View Article and Find Full Text PDFCommunity health centers (CHCs) focus on serving socioeconomically disadvantaged populations with heightened chronic disease burden, making CHCs an ideal setting for implementing diabetes care programs that target vulnerable populations. We aimed to synthesize evidence concerning the effects of CHC interventions in people with diabetes. To do this, four electronic databases were searched, including PubMed, EMBASE, CINAHL, and Scopus, and hand searches of reference collections were undertaken to identify intervention trials published in English.
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