Design of a nurse-run, telephone-based intervention to improve lipids in diabetics.

Abstract:

:This randomized, controlled trial tested the effectiveness of a nurse-run, telephone-based intervention to improve lipid control in patients with diabetes. Our patient population is predominantly low-income and Latino. Using our diabetes registry, we randomly assigned 381 patients to continue with their usual care and 381 to participate in our nurse-run program. Three registered nurses learned algorithms for diabetes care. These algorithms address management of lipids, glycemic control, blood pressure, nephropathy, aspirin use, eye screening, pneumovax and influenza vaccines, obesity, and cigarette smoking. The nurses were also trained in motivational interviewing techniques and facilitation of patient self-management. The primary goal was to improve lipid control in our diabetic population. Secondary outcomes address blood pressure control, glycemic control, renal function, and medication adherence. In addition, a cost-effective analysis is being performed. This article summarizes the design of the intervention.

journal_name

Contemp Clin Trials

authors

Fischer H,Mackenzie T,McCullen K,Everhart R,Estacio RO

doi

10.1016/j.cct.2008.05.011

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

809-16

issue

5

eissn

1551-7144

issn

1559-2030

pii

S1551-7144(08)00080-3

journal_volume

29

pub_type

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