Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Results of a 2‐year randomized controlled pragmatic trial (糖尿病护士病例管理以及促进改变的动机性会谈（DYNAMIC）：一项为期2年的实用随机对照研究)

Gabbay, Robert A.; Añel‐Tiangco, Raquel M.; Dellasega, Cheryl; Mauger, David T.; Adelman, Alan; Van Horn, Deborah H.A.

doi:10.1111/1753-0407.12030

Cited by 85Diabetes Management and EducationChronic Disease Management StrategiesDiabetes Management and Research

Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Results of a 2‐year randomized controlled pragmatic trial (糖尿病护士病例管理以及促进改变的动机性会谈（DYNAMIC）：一项为期2年的实用随机对照研究)

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Gabbay, Robert A., Añel‐Tiangco, Raquel M., Dellasega, Cheryl, Mauger, David T., Adelman, Alan, Van Horn, Deborah H.A.·2013·Journal of Diabetes

DOI 10.1111/1753-0407.12030PMC PMC3679203

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Abstract

Background: The aim of the present study was to determine whether the addition of nurse case managers (NCMs) trained in motivational interviewing (MI) to usual care would result in improved outcomes in high‐risk type 2 diabetes patients. Methods: A 2‐year randomized controlled pragmatic trial randomized 545 patients to usual care control (n = 313) or those who received the intervention (n = 232) with additional practice‐embedded NCM care, including MI‐guided behavior change counseling. The NCMs received intensive MI training with ongoing fidelity assessment. Results: Systolic blood pressure (SBP) was better in the intervention than usual care group (131 ± 15 vs. 135 ± 18 mm H g, respectively; P < 0.05). Improvements were seen in both the control and intervention groups in terms of H b A 1c (from 9.1% to 8.0% and from 8.8% to 7.8%, respectively), low‐density lipoprotein (LDL; from 127 to 100 mg/d L and from 128 to 102 mg/d L, respectively), and diastolic blood pressure (from 78 to 74 mm H g and from 80 to 74 mm H g, respectively). Depression symptom scores were better in the intervention group. The reduction in diabetes‐related distress approached statistical significance. Conclusions: The NCMs and MI improved SBP and complications screening. The large decrease in HbA1C and LDL in the control group may have obscured any further intervention effect. Although nurses prompted providers for medication titration, strategies to reduce provider clinical inertia may also be needed.

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Twenty-four RCTs examined the impact of interventions on health-related quality of life (HRQOL).
“Twenty-four RCTs examined the impact of interventions on HRQOL”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [60]
The Methods and Results describe one randomized trial that measured diabetes-specific quality of life (ADDQoL). The paper does not report that twenty-four RCTs examined HRQOL, so it supports the existence of one relevant trial but not the stated count. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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 [60]
The Methods section (page unavailable) reports that this trial measured depression symptoms and diabetes-related quality of life. It does not report that physical, mental, or social functioning was measured across 25 RCTs; the cited paper describes a single trial. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-care activities within 7 days were measured in 4 RCTs using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire.
“Self-care activities within 7 days were measured in 4 RCTs [41, 52, 54, 60, 102, 103] using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [60]
The Methods section says this randomized trial used the SDSCA questionnaire to assess diabetes self-management, supporting its inclusion as an example of an RCT using that measure. Our copy does not specify a seven-day recall period or establish the citing document’s count of four RCTs. (LLM, conf=0.83)
Experimental — accuracy not yet measured

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Authors: Gabbay, R. A., Añel‐Tiangco, R. M., Dellasega, C., Mauger, D. T., Adelman, A., & Van Horn, D. H. A.
Affiliations: Pennsylvania State University (US)
Penn State Milton S. Hershey Medical Center (US)
Van Horn Consulting West Deptford New Jersey USA
Corresponding author: Gabbay, Robert A.
ORCID: Gabbay, Robert A.
Dellasega, Cheryl
Mauger, David T.
Venue: Journal of Diabetes
Publisher: Wiley
Published: 2013-05-28
Volume: 5
Issue: 3
Pages: 349-357
ISSN: 1753-0393 (ISSN-L)
1753-0407
DOI: 10.1111/1753-0407.12030
PMC: PMC3679203
OpenAlex: W1521667429
Cited by: 85
References: 44
Citations by year: 2026: 4 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 8 · 2021: 5 · 2020: 6 · 2019: 5 · 2018: 13 · 2017: 13 · 2016: 6 · 2015: 4 · 2014: 4 · 2013: 2
FWCI: 4.20
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Diabetes (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Pennsylvania State University
National Institutes of Health
Royal Holloway, University of London
National Institute of Diabetes and Digestive and Kidney Diseases (R18DK067495)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords: nurse case management, motivational interviewing, type 2 diabetes, behavior change counseling, blood pressure control, glycemic control, LDL cholesterol, depression, diabetes distress, clinical inertia, dose titration
MeSH terms: Aged, Blood Pressure, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Lipoproteins, LDL, Male, Middle Aged, Nurse-Patient Relations, Nurses, Quality of Life, Surveys and Questionnaires, Risk Factors, Outcome Assessment, Health Care, Case Management, Nurse's Role, Motivational Interviewing

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Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Results of a 2‐year randomized controlled pragmatic trial (糖尿病护士病例管理以及促进改变的动机性会谈（DYNAMIC）：一项为期2年的实用随机对照研究)

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