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Patient Educ Couns. 2011 Feb;82(2):266-70. doi: 10.1016/j.pec.2010.04.005.

Impact of patient level factors on the improvement of the ABCs of diabetes.

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  • 1Division of Endocrinology and Metabolism, University of Pittsburgh, PA, USA. piattg@upmc.edu

Abstract

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.

Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

PMID:
20434290
[PubMed - indexed for MEDLINE]
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