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Cited by 120Diabetes Management and EducationChronic Disease Management StrategiesPrimary Care and Health Outcomes

3-Year Follow-up of Clinical and Behavioral Improvements Following a Multifaceted Diabetes Care Intervention

Piatt, Gretchen A., Anderson, Robert M., Brooks, Maria M., Songer, Thomas, Siminerio, Linda M., Korytkowski, Mary M., Zgibor, Janice C.·2010·The Diabetes Educator
DOI 10.1177/0145721710361388
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Abstract

PURPOSE: The purpose of this study was to determine if improvements observed in clinical, behavioral, and psychosocial outcomes measured at 12 months following a multifaceted diabetes care intervention were sustained at 3-year follow-up. METHODS: This study was a multilevel, nonblinded, cluster design, randomized controlled trial that took place in an underserved suburb of Pittsburgh, Pennsylvania, between 1999 and 2005. Eleven primary care practices, and their patients, were randomly assigned to 3 groups: chronic care model (CCM) intervention (n = 30), provider education only (PROV) (n = 38), and usual care (UC) (n = 51). Subjects were followed for 3 years. RESULTS: Improvements observed at 12-month follow-up in glycemic (-0.5%) and blood pressure control (-4.8 mm Hg), and the proportion of participants who self-monitor their blood glucose (86.7%-100%), were sustained at 3-year follow-up in the CCM group. Additional improvements occurred in non-HDLc levels in all study groups and quality of well-being scores in the CCM intervention group. All associations remained after controlling for medication treatment intensification. CONCLUSIONS: We have demonstrated that improvements in outcomes can be sustained over time following a multifaceted diabetes care intervention. Future research in this area is necessary to understand if improvements in outcomes can be sustained following diabetes self-management education (DSME) and what type of patient fares the best from multifaceted diabetes care interventions.

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  • Diabetes self-management education and support interventions that included ongoing support were associated with better outcomes.

    “Better outcomes were reported for DSMES interventions that were more than 10 h over the course of 6-12 months (20), included ongoing support (14,32), were culturally (33)(34)(35) and age appropriate (36,37), were tailored to individual needs and preferences, addressed psychosocial issues, and incorporated behavioral strategies (15,26,38,39).”

    From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [32]

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Authors
Piatt, G. A., Anderson, R. M., Brooks, M. M., Songer, T., Siminerio, L. M., Korytkowski, M. M., & Zgibor, J. C.
Affiliations
  • University of Pittsburgh (US)
  • University of Michigan (US)
ORCID
Venue
The Diabetes Educator
Publisher
SAGE Publications
Published
2010-03
Volume
36
Issue
2
Pages
301-309
ISSN
  • 0145-7217 (ISSN-L)
  • 1554-6063
DOI
10.1177/0145721710361388
OpenAlex
W2164127864
Cited by
120
References
17
Citations by year
2026: 1 · 2025: 1 · 2024: 5 · 2023: 8 · 2022: 8 · 2021: 10 · 2020: 5 · 2019: 7 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 13 · 2014: 11 · 2013: 8 · 2012: 7
FWCI
6.27
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • The Science of Diabetes Self-Management and Care (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Diabetes and Digestive and Kidney Diseases (NIH 5P60-DK020572)
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 › Primary Care and Health Outcomes
Keywords
Chronic Care Model, diabetes self-management education, glycemic control, blood pressure control, self-monitoring of blood glucose, non-HDL cholesterol, quality of well-being, provider education, primary care, underserved populations
MeSH terms
Aged, Blood Pressure, Diabetes Mellitus, Female, Follow-Up Studies, Glycated Hemoglobin, Humans, Interviews as Topic, Life Style, Male, Medically Underserved Area, Middle Aged, Patient Education as Topic, Pennsylvania, Self Care, Smoking, Time Factors, Blood Glucose Self-Monitoring, Cluster Analysis

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