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Diabetes Educ. 2016 Feb;42(1):96-107. doi: 10.1177/0145721715620022. Epub 2015 Dec 7.

Imbedding Interdisciplinary Diabetes Group Visits Into a Community-Based Medical Setting.

Author information

1
University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, North Carolina (Dr Berry; Ms Hall)
2
Rutgers University, Camden, New Jersey (Dr Williams)
3
The Light House Foundation, Raleigh, North Carolina (Ms Heroux)
4
Alliance Medical Ministry, Raleigh, North Carolina (Dr Bennett-Lewis)

Abstract

PURPOSE:

The purpose of this study was to evaluate an interdisciplinary approach and test the efficacy of diabetes group visits tailored to low-income patients in a community-based medical practice.

METHODS:

A randomized repeated measures design was used with 40 patients in the experimental group and 40 patients in the control group. The diabetes group visit consisted of individualized sessions with a physician or nurse practitioner to review medications and conduct a medical examination and group sessions to deliver diabetes self-management education. Data collected included clinical data and questionnaires. A control group shared comparable demographic characteristics, medication regimens, and baseline A1C levels.

RESULTS:

The patients in the experimental group decreased their A1C, triglycerides, and heart rate from time 1 to time 5 and maintained their high-density lipoprotein significantly more than the control group. In exit interviews, the patients said that the group diabetes visits helped them be more accountable about their diabetes self-management goals.

CONCLUSIONS:

Diabetes group visits that combined diabetes self-management education and a medical visit with a health care provider improved A1C and were well received by the patients. The study provided patients with a quality program in an environment in which they felt safe to learn and that met them where they were in their diabetes self-management behaviors. This approach could be widely disseminated into other clinic settings that serve patients with type 2 diabetes.

PMID:
26647415
DOI:
10.1177/0145721715620022
[Indexed for MEDLINE]

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