| Impact of patient level factors on the improvement of the ABCs of diabetes. | |
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MedLine Citation:
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PMID: 20434290 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. METHODS: A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n=119). RESULTS: Improvements in glycemic control were experienced among older subjects (p=0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p=0.05), and those in the CCM group (p=0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p=0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p=0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. CONCLUSION: Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. PRACTICE IMPLICATIONS: Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care. |
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Authors:
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Gretchen A Piatt; Thomas J Songer; Maria M Brooks; Robert M Anderson; David Simmons; Trevor J Orchard; Linda M Siminerio; Mary T Korytkowski; Janice C Zgibor |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Patient education and counseling Volume: 82 ISSN: 1873-5134 ISO Abbreviation: Patient Educ Couns Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 266-70 Citation Subset: N |
Copyright Information:
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Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Division of Endocrinology and Metabolism, University of Pittsburgh, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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