An Internet-Based Diabetes Management Platform Improves Team Care and Outcomes in an Urban Latino Population
| Autor: | Zoraida Rodriguez, Garry Welch, Paula Santiago-Kelly, Sven-Erik Bursell, Robert A. Gabbay, Sofija E. Zagarins, Milagros C. Rosal |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Research design
Adult Blood Glucose Male medicine.medical_specialty Urban Population Endocrinology Diabetes and Metabolism MEDLINE Clinical decision support system law.invention Randomized controlled trial law Diabetes management Diabetes mellitus Internal Medicine Medicine Humans Completely randomized design Aged Advanced and Specialized Nursing Patient Care Team Internet business.industry Clinical Care/Education/Nutrition/Psychosocial Research Standard of Care Hispanic or Latino Middle Aged medicine.disease 3. Good health Self Care Treatment Outcome Diabetes Mellitus Type 2 Physical therapy Female Comprehensive Health Care business Psychosocial |
| Zdroj: | Diabetes Care |
| ISSN: | 1935-5548 0149-5992 |
| Popis: | OBJECTIVE To compare usual diabetes care (UDC) to a comprehensive diabetes care intervention condition (IC) involving an Internet-based “diabetes dashboard” management tool used by clinicians. RESEARCH DESIGN AND METHODS We used a parallel-group randomized design. Diabetes nurses, diabetes dietitians, and providers used the diabetes dashboard as a clinical decision support system to deliver a five-visit, 6-month intervention to 199 poorly controlled (HbA1c >7.5% [58 mmol/mol]) Latino type 2 diabetic (T2D) patients (mean age 55 years, 60% female) at urban community health centers. We compared this intervention to an established, in-house UDC program (n = 200) for its impact on blood glucose control and psychosocial outcomes. RESULTS Recruitment and retention rates were 79.0 and 88.5%, respectively. Compared with UDC, more IC patients reached HbA1c targets of CONCLUSIONS The diabetes dashboard intervention significantly improved diabetes-related outcomes among Latinos with poorly controlled T2D compared with a similar diabetes team condition without access to the diabetes dashboard. |
| Databáze: | OpenAIRE |
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