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3-Year Follow-up of Clinical and Behavioral Improvements Following a Multifaceted Diabetes Care Intervention
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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“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:Standards of Care in Diabetes—2023 (2023) · cites this paper as [32]
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Jones, L. G. (2014) · UKnowledge (University of Kentucky) · Cited by 1
Diet, education and behaviour in type 2 diabetes
Deakin, T. (2015) · Wiley eBooks · doi:10.1002/9781119121725.ch16 · Cited by 1
Sharing Stories of the Journey: Peer Education
Piatt, G., Lee, R., Thomasic, H., Ryan, N., & Glinsky, M. (2012) · doi:10.1002/9781118702666.ch9
The Role and Impact of Cooperative Extension in Diabetes Self-Management Education
Murray, B. M. (2015) · UKnowledge (University of Kentucky)
Metadata
- 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
- 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
- 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 › Medicine › Family Practice › 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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