Understanding the Gap Between Good Processes of Diabetes Care and Poor Intermediate Outcomes: Translating Research Into Action for Diabetes (TRIAD)
Abstract
Background Performance of diabetes clinical care processes has improved recently, but control of hemoglobin A1c (A1c) and other vascular disease risk factors has improved more slowly. Objectives To identify patient factors associated with control of vascular disease risk factors among diabetes patients receiving recommended care processes. Population Managed care enrollees who participated in the TRIAD (Translating Research into Action for Diabetes) Study and received at least 5 of 7 recommended care processes during the 12 months before the second survey (2002-2003). Methods Comparison of 1003 patients with good control of A1c ( Results Poorly controlled patients were younger, more frequently female, African American, with lower education and income (P Conclusions Clinical, socioeconomic, psychosocial, and behavioral factors were independently associated with poor control. However, these factors did not fully explain observed racial and socioeconomic disparities in control.
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Patients' experience of health care is affected by perceived discrimination, resulting in distrust in the provider and, potentially, racial concordance with providers.
“Patients' experience of health care is also affected by perceived discrimination, resulting distrust in the provider, and, potentially, racial concordance with providers [47-51].”
From Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California (2023) · cites this paper as [49]
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Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485 · 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
Audit and feedback: effects on professional practice and health care outcomes
Jamtvedt, G., Young, J. M., Kristoffersen, D. T., O'Brien, M. A., & Oxman, A. D. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub2 · Cited by 912 · see citing works
Piette, J. D., Heisler, M., Horne, R., & Caleb Alexander, G. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.06.045 · Cited by 138 · see citing works
The Translating Research Into Action for Diabetes (TRIAD) Study
The TRIAD Study Group (2002) · Diabetes Care · doi:10.2337/diacare.25.2.386 · Cited by 98 · see citing works
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Engagement in a Diabetes Self-management Website: Usage Patterns and Generalizability of Program Use
Glasgow, R. E., Christiansen, S. M., Kurz, D., King, D. K., Woolley, T., Faber, A. J., Estabrooks, P. A., Strycker, L., Toobert, D., & Dickman, J. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1391 · Cited by 219 · see citing works
Waitzfelder, B., Palaniappan, L., Varga, A., Frankland, T. B., Li, J., Daida, Y. G., Kaholokula, J. K., Bacong, A. M., Rawlings, A. M., Chung, S., et al. (2023) · BMC Public Health · doi:10.1186/s12889-023-15795-5 · Cited by 31 · see citing works
Self-citation
- Authors
- Selby, J. V., Swain, B. E., Gerzoff, R. B., Karter, A. J., Waitzfelder, B. E., Brown, A. F., Ackermann, R. T., Duru, O. K., Ferrara, A., Herman, W., Marrero, D. G., Caputo, D., & Narayan, K. M. V.
- Affiliations
- Kaiser Permanente (US)
- Centers for Disease Control and Prevention (US)
- Pacific Health Research and Education Institute (US)
- University of California, Los Angeles (US)
- Indiana University School of Medicine (US)
- University of Michigan (US)
- Corresponding author
- Selby, Joe V.
- Swain, Bix E.
- Karter, Andrew J.
- Ferrara, Assiamira
- Caputo, Dorothy
- ORCID
- Venue
- Medical Care
- Published
- 2007-12
- Volume
- 45
- Issue
- 12
- Pages
- 1144-1153
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2050163614
- Cited by
- 73
- References
- 5
- Citations by year
- 2024: 1 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 2 · 2017: 1 · 2015: 18 · 2014: 5 · 2013: 1 · 2012: 6
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes management, glycemic control, HbA1c, vascular risk factors, blood pressure control, LDL cholesterol, racial disparities, socioeconomic disparities, smoking, physical inactivity, depression, trust in physicians, managed care enrollees
- MeSH terms
- Blood Pressure, Cardiovascular Diseases, Diabetes Mellitus, Female, Glycated Hemoglobin, Humans, Cholesterol, LDL, Male, Middle Aged, Outcome and Process Assessment, Health Care, Risk Factors, Sex Factors, Socioeconomic Factors, Health Behavior, Multivariate Analysis, Diabetes Complications
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