C-C2-05: Primary Care Web-Based Lifestyle Intervention for Type 2 Diabetes: Randomized Controlled Trial to Improve Knowledge and Self-Care
| Autor: | Margaret Rukstalis, Mary Anglade, Mary Ann Blosky, Tammy Anderer, Frederick J. Bloom, Howard Steinberg |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Community and Home Care
medicine.medical_specialty Pediatrics business.industry Psychological intervention Problem list Conscientiousness SELECTED ABSTRACTS - HMORN 2011: Diabetes Obesity and Physical Activity General Medicine Mental health law.invention Randomized controlled trial law Informed consent Intervention (counseling) Family medicine Medicine business Psychosocial |
| Popis: | 2 Life Med Media Background: Rapidly growing numbers of Type 2 Diabetics (T2D) in the US continues to escalate need for evidence-based primary care interventions to reduce complications and costs. Limited time, information, and lack of revenue for chronic disease management create gaps between national guidelines and primary care for diabetes. Methods: Of the over 20,000 diabetics were identified in Geisinger EPIC ® EHR, 3166 T2D with diagnosis on problem list or ICD-9 code had HgA1c>8.0%. Physician letters or emails were sent to invite them to call to Opt OUT if they did not want more information. After a 10 day period, staff called 1932 eligible T2D to invite them to a shared medical primary care visit to participate in a randomized controlled trial comparing a tailored 5-month web-based lifestyle intervention (dLifeG.com) to usual care. 166 Type 2 diabetics gave written informed consent and were randomized 1:2 to control group or intervention group. In 8.0 in a self-management lifestyle modification intervention. Importantly, the study also helped rates of 72.0% (175/243) in the group education intervention and 86.1% (211/245) in the individual treatment intervention. We sought to identify demographic, psychosocial and clinical characteristics that might explain non-completion. We hypothesized that, within each arm, baseline health status (SF-12 mental composite and physical composite scores), depression (PHQ9), personality type (TIPI Big 5; extraversion, agreeability, emotional stability, conscientiousness, and openness), and Hb A1c level were associated with completion. Results: In the group education arm, subjects scoring higher on the emotional stability scale were more likely to complete (p |
| Databáze: | OpenAIRE |
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