title: Educational attainment moderates the effect of a brief diabetes self-care intervention.
abstract: OBJECTIVE
  Those with less education are at increased risk for developing diabetes and have a poorer prognosis. Intensive diabetes self-care interventions have been more effective at improving glycemic control in those with lower educational attainment. Due to limited resources, the focus has shifted to brief, cost-effective health interventions. This study examined whether educational attainment moderates the effect of a brief, telephone delivered self-care intervention on glycemic control in people with type 2 diabetes.
  
  
  METHODS
  Randomized clinical trial. Participants (N=62) were assigned to receive treatment as usual or treatment as usual plus a brief telephone intervention. The primary outcome measure was hemoglobin A1c.
  
  
  RESULTS
  A significant education by intervention group interaction effect indicated that participants with higher educational attainment had greater improvement in glycemic control (A1c) than those with less educational attainment; whereas, educational attainment was unrelated to change in glycemic control (A1c) within the control group.
  
  
  CONCLUSIONS
  People with higher educational attainment may benefit to a greater extent from brief self-care interventions for diabetes, while those with lower educational attainment may require more intensive treatment.
authors: Department of Psychology, University of South Florida, Tampa, FL 33620, United States. sacco@cas.usf.edu
authors: William P
authors: WP
authors: Sacco
authors: Cathy A
authors: CA
authors: Bykowski
authors: Laura L
authors: LL
authors: Mayhew
authors: Kristi E
authors: KE
authors: White
mesh_terms: D000328:Adult; D001786:Blood Glucose; D003376:Counseling; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology* / Q000628:therapy*; D004522:Educational Status; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000523:psychology*; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin