Long‐term effectiveness of the Diabetes Conversation Map™ Program on health outcomes: A case–control retrospective cohort study

Autor: Xuanyao He, Orna Reges, Moshe Hoshen, Alena Strizek, Einav Srulovici, Becca Feldman, Mina Rotem, Calanit Key, Nomy Levin-Iaina, Bradley H. Curtis, Maya Leventer-Roberts
Rok vydání: 2020
Předmět:
Zdroj: Journal of Advanced Nursing. 76:2299-2310
ISSN: 1365-2648
0309-2402
Popis: To evaluate the clinical and health behavioural outcomes of a large sample of participants from the Diabetes Conversation Map™ Program.A matched-case-control study that was performed on a retrospective cohort study.Participants were 11,053 Clalit Health Services members with type 2 diabetes who enrolled in the Diabetes Conversation Map™ Program between January 2010 - April 2016. The matched-control group was formulated using sequential matching, by matching cases to controls at a ratio of 1:3, based on age, sex, and HbA1c level. The associations between the programme group and annual clinical and health behaviours were assessed between cases and controls at five time points using linear and Poisson regression analyses.The intervention group had significantly lower HbA1c, glucose, and low-density lipoprotein levels and more frequent glucose blood testing each year up to 36 month post-enrolment compared with the matched controls. Other outcomes were significantly different for shorter time periods, including higher high-density lipoprotein and lower triglyceride levels at 6- and 12-month follow-up and lower diastolic blood pressure and greater medication adherence at 6-month follow-up.Enrolment in the programme was associated with improved clinical and health behaviour outcomes for at least 6 months and most outcomes persisted for up to 36 months.This is the first study to evaluate the Diabetes Conversation Map™ Program with a large sample over long period of time. This nurse-led group intervention evaluation adds to the literature on health outcomes on the lives of patients with type 2 diabetes.This study was registered retrospectively to the Open Science Framework, the registration form can be found at: https://osf.io/63cse.目的: 为了评估糖尿病看图对话™项目参与者的大量样本的临床和健康行为结果。 设计: 一项基于回顾性队列研究的匹配型病例对照研究。 方法: 参与者为2010年1月至2016年4月期间入选参加糖尿病看图对话™项目的11,053名患有II型糖尿病Clalit医疗保健服务会员。根据年龄、性别和糖化血红蛋白(HbA1c)水平,以1:3的比例将病例组与对照组进行匹配,采用顺序匹配的方式拟定匹配对照组。通过线性和泊松回归分析,评估了5个时间点的病例组和对照组之间项目组与年度临床和健康行为的关联。 结果: 与匹配的对照组相比,干预组的糖化血红蛋白、血糖和低密度脂蛋白水平显著降低,并且在入组后36个月内每年的血糖血检频率更高。其他结果在较短的时间内也有显著不同,包括在6个月和12个月的随访中,高密度脂蛋白和甘油三酯水平较高,而在6个月的随访中,舒张压较低,药物治疗依从性较高。 结论: 该项目的参与者在至少6个月的时间里,临床和健康行为结果得到改善,而且大多数结果持续了36个月。 影响: 这是首例对糖尿病看图对话™项目进行长期大样本评估的研究。这项由护士领导的小组干预评估为II型糖尿病患者生活的健康结果的相关文献质量增添了新内容。 研究登记: 该研究在开放科学框架下进行了回顾性登记,可访问网址https://osf.io/63cse查阅登记表。.
Databáze: OpenAIRE
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