Effect of hospital-based telephone coaching on glycaemic control and adherence to management guidelines in type 2 diabetes, a randomised controlled trial
Abstract
BACKGROUND: Failure to achieve treatment targets is common among people with type 2 diabetes. Cost-effective treatments are required to delay the onset and slow the progression of diabetes-related complications. AIMS: This study aimed to measure the effect of a 6-month telephone coaching intervention on glycaemic control, risk factor status and adherence to diabetes management practices at the intervention's conclusion (6 months) and at 12 months. METHOD: This randomised controlled trial recruited 94 adults with type 2 diabetes and an HbA1C > 7% from the Diabetes Clinic of St Vincent's Hospital Melbourne. People who were non-English speaking, cognitively impaired, severely hearing impaired or without telephone access were excluded. Participants were randomised to receive usual care plus 6 months of telephone coaching focusing on achieving treatment targets and complication screening, or usual care only. The primary outcome was HbA1C at 6 months; secondary outcomes included other physiological and monitoring measures. RESULTS: Significant interaction effects were observed between group and time at 6 months, demonstrating improvement in HbA1C, fasting glucose, diastolic blood pressure and physical activity. The intervention's effect on these parameters was not sustained at 12 months. Intervention group participants also improved compliance with foot examinations and pneumococcal vaccination by 6 months and retinal screening by 12 months. CONCLUSIONS: Telephone coaching improved glycaemic control and adherence to complication screening in people with type 2 diabetes, for the duration of its delivery, but these effects were not maintained on withdrawal of the intervention. Strategies that assist patients to sustain these benefits are required.
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The effect of technology-based interventions in patients with type 2 diabetes on long-term clinical parameters is described in other studies, where the effects were not maintained at 12 months.
“The effect of technology-based interventions in patients with T2D on long-term clinical parameters is described in other studies, where the effects were not maintained at 12 months [36,38].”
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- Authors
- Varney, J. E., Weiland, T. J., Inder, W. J., & Jelinek, G. A.
- Affiliations
- The University of Melbourne (AU)
- The University of Queensland (AU)
- Corresponding author
- Varney, J. E.
- Venue
- Internal Medicine Journal
- Publisher
- Wiley
- Published
- 2014-09
- Volume
- 44
- Issue
- 9
- Pages
- 890-897
- ISSN
- 1444-0903 (ISSN-L)
- 1445-5994
- OpenAlex
- W2125676573
- Cited by
- 63
- References
- 29
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 10 · 2020: 6 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 7 · 2015: 5
- FWCI
- 4.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Internal Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- St Vincent's Hospital Research Endowment Fund
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- type 2 diabetes, telephone coaching, glycemic control, HbA1c, diabetes management guidelines, retinal screening, foot examination, pneumococcal vaccination, physical activity, blood pressure, fasting blood glucose, intervention sustainability
- MeSH terms
- Aged, Australia, Cost-Benefit Analysis, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Hypoglycemic Agents, Male, Middle Aged, Patient Compliance, Patient Education as Topic, Patient Participation, Surveys and Questionnaires, Self Care, Telephone, Blood Glucose Self-Monitoring, Diabetes Complications
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