Nurse case management improves blood pressure, emotional distress and diabetes complication screening
Abstract
We studied the impact of nurse case management (NCM) on blood pressure (BP), hemoglobin A1C, lipids, and diabetes complication screening. A 1-year randomized-controlled trial was conducted in two primary care clinics of the Penn State Hershey Medical Center. Diabetes patients were randomized to control group (CG) (n=182) who received usual care by their primary care provider and intervention group (IG) (n=150) who received additional NCM care, including self-management education, and implementation of diabetes guidelines. Primary outcomes included BP, A1C, lipid, process measures, and secondary outcome was diabetes-related emotional distress as assessed by Problem Areas in Diabetes (PAID). BP significantly decreased from 137/77 to 129/72 in IG as compared to an increase from 136/77 to 138/79 in CG after 1 year. PAID scores improved significantly in IG (from 23 to 10) due to reduced emotional stress. A1C (7.4) and LDL (105) were unaffected. Complications screening significantly improved in IG compared to CG: opthalmologic exam 26 to 68%, foot exam 47 to 64%, and nephropathy screening 34 to 72%. NCM improved BP, diabetes-related emotional distress, and process measures in primary care. Unchanged A1C and lipids might be due to a threshold effect. Intervention based upon initial risk assessment may prove more cost-effective.
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Forty-four RCTs examined the impact of interventions on disease-specific outcomes.
“Forty four RCTs examined the impact of interventions on disease specific outcomes”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [43]
Physical, mental or social functioning were measured in 25 RCTs.
“Physical, mental or social functioning were measured in 25 RCTs”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [43]
Cites
Stratton, I. M. (2000) · BMJ · doi:10.1136/bmj.321.7258.405 · Cited by 9,059 · see citing works
Economic Costs of Diabetes in the U.S. in 2002
American Diabetes Association (2003) · Diabetes Care · doi:10.2337/diacare.26.3.917 · Cited by 4,147 · see citing works
Renders, C. M., Valk, G. D., Griffin, S. J., Wagner, E. H., Eijk van, J. T., & Assendelft, W. J. J. (2001) · Diabetes Care · doi:10.2337/diacare.24.10.1821 · Cited by 1,066 · see citing works
The problem areas in diabetes scale: an evaluation of its clinical utility
Welch, G. W., Jacobson, A. M., & Polonsky, W. H. (1997) · Diabetes Care · doi:10.2337/diacare.20.5.760 · Cited by 664 · see citing works
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Chrvala, C. A., Sherr, D., & Lipman, R. D. (2016) · Patient Education and Counseling · doi:10.1016/j.pec.2015.11.003 · Cited by 914 · see citing works
Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019) · PLoS ONE · doi:10.1371/journal.pone.0220116 · Cited by 600 · see citing works
Tshiananga, J. K. T., Kocher, S., Weber, C., Erny-Albrecht, K., Berndt, K., & Neeser, K. (2012) · The Diabetes Educator · doi:10.1177/0145721711423978 · Cited by 209 · see citing works
Psychological interventions for diabetes-related distress in adults with type 2 diabetes mellitus
Chew, B. H., Vos, R. C., Metzendorf, M.-I., Scholten, R. J., & Rutten, G. E. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011469.pub2 · Cited by 138 · see citing works
Gabbay, R. A., Añel‐Tiangco, R. M., Dellasega, C., Mauger, D. T., Adelman, A., & Van Horn, D. H. A. (2013) · Journal of Diabetes · doi:10.1111/1753-0407.12030 · Cited by 85 · see citing works
Self-citationTabesh, M., Magliano, D. J., Koye, D. N., & Shaw, J. E. (2018) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2017.08.018 · Cited by 35 · see citing works
Egede, L. E., Strom, J. L., Fernandes, J., Knapp, R. G., & Rojugbokan, A. (2011) · Trials · doi:10.1186/1745-6215-12-231 · Cited by 24 · see citing works
Whitehead, L., Glass, C., & Coppell, K. (2022) · Journal of Advanced Nursing · doi:10.1111/jan.15084 · Cited by 19 · see citing works
Shojania, K. G., Ranji, S. R., McDonald, K. M., Grimshaw, J. M., Sundaram, V., Rushakoff, R. J., & Owens, D. K. (2006) · JAMA · doi:10.1001/jama.296.4.427 · Cited by 20 · see citing works
Zgibor, J. C., Kuo, S., Emerson, S., Gittinger, P., Solano, F. X., Tilves, D., Maloney, M., & Davidson, M. B. (2014) · Contemporary Clinical Trials · doi:10.1016/j.cct.2014.07.004 · Cited by 10 · see citing works
- Authors
- Gabbay, R. A., Lendel, I., Saleem, T. M., Shaeffer, G., Adelman, A. M., Mauger, D. T., Collins, M., & Polomano, R. C.
- Affiliations
- Pennsylvania State University (US)
- Pfizer (United States) (US)
- University of Pennsylvania (US)
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2006-01
- Volume
- 71
- Issue
- 1
- Pages
- 28-35
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W1999735316
- Cited by
- 107
- References
- 4
- Citations by year
- 2023: 2 · 2022: 3 · 2021: 4 · 2019: 5 · 2018: 5 · 2017: 8 · 2016: 7 · 2015: 10 · 2014: 7 · 2013: 10 · 2012: 8
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pennsylvania State University
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- nurse case management, diabetes mellitus, blood pressure control, glycemic control, HbA1c, serum lipids, diabetes complications screening, diabetic eye examination, diabetic foot examination, diabetic nephropathy screening, emotional distress, Problem Areas in Diabetes, self-management education, diabetes guidelines, primary care, risk assessment
- MeSH terms
- Aged, Blood Glucose, Blood Pressure, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Cholesterol, LDL, Male, Middle Aged, Case Management, Diabetes Complications
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