Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial.

Abstract:

PURPOSE:Peer health coaches offer a potential model for extending the capacity of primary care practices to provide self-management support for patients with diabetes. We conducted a randomized controlled trial to test whether clinic-based peer health coaching, compared with usual care, improves glycemic control for low-income patients who have poorly controlled diabetes. METHOD:We undertook a randomized controlled trial enrolling patients from 6 public health clinics in San Francisco. Twenty-three patients with a glycated hemoglobin (HbA1C) level of less than 8.5%, who completed a 36-hour health coach training class, acted as peer coaches. Patients from the same clinics with HbA1C levels of 8.0% or more were recruited and randomized to receive health coaching (n = 148) or usual care (n = 151). The primary outcome was the difference in change in HbA1C levels at 6 months. Secondary outcomes were proportion of patients with a decrease in HbA1C level of 1.0% or more and proportion of patients with an HbA1C level of less than 7.5% at 6 months. Data were analyzed using a linear mixed model with and without adjustment for differences in baseline variables. RESULTS:At 6 months, HbA1C levels had decreased by 1.07% in the coached group and 0.3% in the usual care group, a difference of 0.77% in favor of coaching (P = .01, adjusted). HbA1C levels decreased 1.0% or more in 49.6% of coached patients vs 31.5% of usual care patients (P = .001, adjusted), and levels at 6 months were less than 7.5% for 22.0% of coached vs 14.9% of usual care patients (P = .04, adjusted). CONCLUSIONS:Peer health coaching significantly improved diabetes control in this group of low-income primary care patients.

journal_name

Ann Fam Med

authors

Thom DH,Ghorob A,Hessler D,De Vore D,Chen E,Bodenheimer TA

doi

10.1370/afm.1443

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

137-44

issue

2

eissn

1544-1709

issn

1544-1717

pii

11/2/137

journal_volume

11

pub_type

杂志文章,随机对照试验
  • Ethnic disparities in blood pressure management in patients with hypertension after the introduction of pay for performance.

    abstract:PURPOSE:Little is known about the impact of pay-for-performance incentives on health care disparities. We examined ethnic disparities in the management of hypertension among patients with and without cardiovascular comorbidities after the implementation of a major pay-for-performance incentive scheme in UK primary care...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.907

    authors: Millett C,Gray J,Bottle A,Majeed A

    更新日期:2008-11-01 00:00:00

  • Multilevel modeling and practice-based research.

    abstract:PURPOSE:The health care system in the United States is inherently hierarchical. Patients are "nested" within physicians who in turn are "nested" within practices. Much of the research data gathered in practice-based research networks (PBRNs) also have similar patterns of nesting (clustering). When research data are nes...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.340

    authors: Dickinson LM,Basu A

    更新日期:2005-05-01 00:00:00

  • Ratings of physician communication by real and standardized patients.

    abstract:PURPOSE:Patient ratings of physician's patient-centered communication are used by various specialty credentialing organizations and managed care organizations as a measure of physician communication skills. We wanted to compare ratings by real patients with ratings by standardized patients of physician communication. ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.643

    authors: Fiscella K,Franks P,Srinivasan M,Kravitz RL,Epstein R

    更新日期:2007-03-01 00:00:00

  • Improving the Diagnosis and Treatment of Urinary Tract Infection in Young Children in Primary Care: Results from the DUTY Prospective Diagnostic Cohort Study.

    abstract:PURPOSE:Up to 50% of urinary tract infections (UTIs) in young children are missed in primary care. Urine culture is essential for diagnosis, but urine collection is often difficult. Our aim was to derive and internally validate a 2-step clinical rule using (1) symptoms and signs to select children for urine collection;...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1370/afm.1954

    authors: Hay AD,Sterne JA,Hood K,Little P,Delaney B,Hollingworth W,Wootton M,Howe R,MacGowan A,Lawton M,Busby J,Pickles T,Birnie K,O'Brien K,Waldron CA,Dudley J,Van Der Voort J,Downing H,Thomas-Jones E,Harman K,Lisles C,

    更新日期:2016-07-01 00:00:00

  • Patients' beliefs about racism, preferences for physician race, and satisfaction with care.

    abstract:PURPOSE:Few studies have attempted to link patients' beliefs about racism in the health care system with how they use and experience health care. METHODS:Using telephone survey data from a national sample of 1,479 whites, 1,189 African Americans, and 983 Latinos, we explored patients' beliefs about racism, their prefe...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.282

    authors: Chen FM,Fryer GE Jr,Phillips RL Jr,Wilson E,Pathman DE

    更新日期:2005-03-01 00:00:00

  • Capturing medical students' idealism.

    abstract:PURPOSE:Students' idealism and desire to work with underserved populations decline as they progress from preclinical training through clerkships and residency. With an increasingly diverse population and increasing health disparities, academic health centers need to incorporate changes in their curricula to train socia...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.543

    authors: Smith JK,Weaver DB

    更新日期:2006-09-01 00:00:00

  • Panel Size, Clinician Time in Clinic, and Access to Appointments.

    abstract::Large panel sizes are often held responsible for worse access to appointments in primary care. We evaluated the relationship between appointment backlog, panel size, and primary care clinician time in clinic, using Spearman correlation and multiple regression in a retrospective analysis. We found no independent associ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2313

    authors: Margolius D,Gunzler D,Hopkins M,Teng K

    更新日期:2018-11-01 00:00:00

  • Steroids as adjuvant therapy for acute pharyngitis in ambulatory patients: a systematic review.

    abstract:PURPOSE:This review summarizes the evidence regarding the efficacy of adjuvant steroids for pain reduction in acute pharyngitis. METHODS:We searched for randomized controlled trials, using MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews, published between 1966 and December 2008. Two reviewers assessed...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,评审

    doi:10.1370/afm.1038

    authors: Korb K,Scherer M,Chenot JF

    更新日期:2010-01-01 00:00:00

  • Operational definitions of attributes of primary health care: consensus among Canadian experts.

    abstract:PURPOSE:In 2004, we undertook a consultation with Canadian primary health care experts to define the attributes that should be evaluated in predominant and proposed models of primary health care in the Canadian context. METHOD:Twenty persons considered to be experts in primary health care or recommended by at least 2 ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.682

    authors: Haggerty J,Burge F,Lévesque JF,Gass D,Pineault R,Beaulieu MD,Santor D

    更新日期:2007-07-01 00:00:00

  • Decreasing Use of Primary Care: A Repeated Cross-Sectional Study of MEPS 2007-2017.

    abstract::We sought to describe the proportion of patients in contact with a primary care physician, as well as the total number of primary care contacts over a 2-year period, using the 2002-2017 Medical Expenditure Panel Survey. The rate of any contact with a primary care physician for patients in the population decreased by 2...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2631

    authors: Johansen ME,Niforatos JD

    更新日期:2021-01-01 00:00:00

  • Barriers to implementation of case management for patients with dementia: a systematic mixed studies review.

    abstract:PURPOSE:Results of case management designed for patients with dementia and their caregivers in community-based primary health care (CBPHC) were inconsistent. Our objective was to identify the relationships between key outcomes of case management and barriers to implementation. METHODS:We conducted a systematic mixed s...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,评审

    doi:10.1370/afm.1677

    authors: Khanassov V,Vedel I,Pluye P

    更新日期:2014-09-01 00:00:00

  • Medical management of intimate partner violence considering the stages of change: precontemplation and contemplation.

    abstract:BACKGROUND:We undertook a study to understand how women who are victims of intimate partner violence (IPV) want physicians to manage these abusive relationships in the primary care office. METHODS:Thirty-two mothers in IPV shelters or support groups in southwestern Ohio were interviewed to explore their abuse experien...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.74

    authors: Zink T,Elder N,Jacobson J,Klostermann B

    更新日期:2004-05-01 00:00:00

  • The dark bridal canopy.

    abstract::Physician narratives in family medicine have the potential to convey the vibrant spirit of our field and provide meaningful insights into disease, illness, suffering, and the nature of healing. They may also complement empirical research, education, and practice through their integrative, expressive nature. This true ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.372

    authors: Borkan J

    更新日期:2006-01-01 00:00:00

  • Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities.

    abstract:PURPOSE:Persons with multiple chronic diseases must integrate self-management tasks for potentially interacting conditions to attain desired clinical outcomes. Our goal was to identify barriers to self-management that were associated with lower perceived health status and, secondarily, with lower reported physical func...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.722

    authors: Bayliss EA,Ellis JL,Steiner JF

    更新日期:2007-09-01 00:00:00

  • Persuasive Interventions for Controversial Cancer Screening Recommendations: Testing a Novel Approach to Help Patients Make Evidence-Based Decisions.

    abstract:PURPOSE:We wanted to evaluate novel decision aids designed to help patients trust and accept the controversial, evidence-based, US Preventive Services Task Force recommendations about prostate cancer screening (from 2012) and mammography screening for women aged 40 to 49 years (from 2009). METHODS:We created recorded ...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.1996

    authors: Saver BG,Mazor KM,Luckmann R,Cutrona SL,Hayes M,Gorodetsky T,Esparza N,Bacigalupe G

    更新日期:2017-01-01 00:00:00

  • You Will Have a New Life.

    abstract::This narrative presents my personal reflections as a medical anthropology researcher, and my journey as a chronic patient suffering for 30 years from ulcerative colitis. My surgeon promised me "a new life" after recommending a total colectomy 20 years ago. Indeed, a new life did begin following surgery, but I find I m...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2181

    authors: Finkelstein A

    更新日期:2018-03-01 00:00:00

  • Health care assistants in primary care depression management: role perception, burdening factors, and disease conception.

    abstract:PURPOSE:In primary care, the involvement of health care assistants (HCAs) in clinical depression management is an innovative approach. Little is known, however, about how HCAs experience their new tasks. We wanted to describe the perceptions and experiences of HCAs who provided case management to patients with depressi...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1037

    authors: Gensichen J,Jaeger C,Peitz M,Torge M,Güthlin C,Mergenthal K,Kleppel V,Gerlach FM,Petersen JJ

    更新日期:2009-11-01 00:00:00

  • Patient-Physician Agreement in Reporting and Prioritizing Existing Chronic Conditions.

    abstract:PURPOSE:In this study, we aimed to assess (1) the agreement between patient self-reports and general practitioner (GP) reports of the chronic conditions affecting the patients and (2) the agreement between patients and GPs on health priorities in a primary care setting. METHOD:Patients were recruited in the Parisian a...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2444

    authors: Sidorkiewicz S,Malmartel A,Prevost L,Partouche H,Pinot J,Grangé-Cabane A,du Vaure CB,Gilberg S

    更新日期:2019-09-01 00:00:00

  • Targeted melanoma prevention intervention: a cluster randomized controlled trial.

    abstract:PURPOSE:Targeted interventions to reduce the risk and increase the early detection of melanoma have the potential to save lives. We aimed to assess the effect of such an intervention on patient prevention behavior. METHODS:We conducted a pilot clustered randomized controlled trial, comparing a targeted screening and e...

    journal_title:Annals of family medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1370/afm.1600

    authors: Rat C,Quereux G,Riviere C,Clouet S,Senand R,Volteau C,Dreno B,Nguyen JM

    更新日期:2014-01-01 00:00:00

  • Comfortably engaging: which approach to alcohol screening should we use?

    abstract:PURPOSE:We wanted to compare 2 screening instruments for problem drinking, the CAGE and a single question, assessing frequency of use, patient and clinician comfort, and patient engagement in change. METHODS:The study was a crossover, cluster-randomized clinical trial with 31 clinicians in Missouri and 13 in the Ameri...

    journal_title:Annals of family medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1370/afm.83

    authors: Vinson DC,Galliher JM,Reidinger C,Kappus JA

    更新日期:2004-09-01 00:00:00

  • Excess mortality caused by medical injury.

    abstract:PURPOSE:We wanted to estimate excess risk of in-hospital mortality associated with medical injuries identified using an injury surveillance system, after controlling for risk of death resulting from comorbidities. METHODS:The Wisconsin Medical Injuries Prevention Program (WMIPP) screening criteria were used to identif...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.553

    authors: Meurer LN,Yang H,Guse CE,Russo C,Brasel KJ,Layde PM

    更新日期:2006-09-01 00:00:00

  • Screening mammography and Pap tests among older American women 1996-2000: results from the Health and Retirement Study (HRS) and Asset and Health Dynamics Among the Oldest Old (AHEAD).

    abstract:BACKGROUND:We wanted to determine the frequency of self-reported receipt of screening mammography and Papanicolaou (Pap) tests in older women and investigate important predictors of utilization, based on 2 national longitudinal surveys. METHODS:This cohort study includes participants from 4 waves (1994-2000) of the He...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.54

    authors: Ostbye T,Greenberg GN,Taylor DH Jr,Lee AM

    更新日期:2003-11-01 00:00:00

  • Predicting Incident Multimorbidity.

    abstract:PURPOSE:Multimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity. METHODS:We u...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2271

    authors: Mounce LTA,Campbell JL,Henley WE,Tejerina Arreal MC,Porter I,Valderas JM

    更新日期:2018-07-01 00:00:00

  • Influence of shared medical appointments on patient satisfaction: a retrospective 3-year study.

    abstract:PURPOSE:Shared medical appointments (SMAs) are becoming popular, but little is known about their association with patient experience in primary care. We performed an exploratory analysis examining overall satisfaction and patient-centered care experiences across key domains of the patient-centered medical home among pa...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1660

    authors: Heyworth L,Rozenblum R,Burgess JF Jr,Baker E,Meterko M,Prescott D,Neuwirth Z,Simon SR

    更新日期:2014-07-01 00:00:00

  • Preventive services delivery in patients with chronic illnesses: parallel opportunities rather than competing obligations.

    abstract:PURPOSE:Whether patients with 1 or more chronic illnesses are more or less likely to receive recommended preventive services is unclear and an important public health and health care system issue. We addressed this issue in a large national practice-based research network (PBRN) that maintains a longitudinal database d...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1502

    authors: Ornstein SM,Jenkins RG,Litvin CB,Wessell AM,Nietert PJ

    更新日期:2013-07-01 00:00:00

  • Yield of opportunistic targeted screening for type 2 diabetes in primary care: the diabscreen study.

    abstract:PURPOSE:In screening for type 2 diabetes, guidelines recommend targeting high-risk individuals. Our objectives were to assess the yield of opportunistic targeted screening for type 2 diabetes in primary care and to assess the diagnostic value of various risk factors. METHODS:In 11 family practices (total practice popu...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.997

    authors: Klein Woolthuis EP,de Grauw WJ,van Gerwen WH,van den Hoogen HJ,van de Lisdonk EH,Metsemakers JF,van Weel C

    更新日期:2009-09-01 00:00:00

  • Is personality a key predictor of missing study data? An analysis from a randomized controlled trial.

    abstract:PURPOSE:Little is known regarding the effects of psychological factors on data collection in research studies. We examined whether Five Factor Model (FFM) personality factors-Neuroticism, Extraversion, Openness, Agreeableness, and Conscientiousness-predicted missing data in a randomized controlled trial (RCT). METHODS...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.920

    authors: Jerant A,Chapman BP,Duberstein P,Franks P

    更新日期:2009-03-01 00:00:00

  • Maternity Care and Buprenorphine Prescribing in New Family Physicians.

    abstract::The American Board of Family Medicine routinely surveys its Diplomates in each national graduating cohort 3 years out of training. These data were used to characterize early career family physicians whose services include management of pregnancy and prescribing buprenorphine. A total of 261 (5.1%) respondents both pro...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.2504

    authors: Louis JS,Eden AR,Morgan ZJ,Barreto TW,Peterson LE,Phillips RL Jr

    更新日期:2020-03-01 00:00:00

  • The myth of the lone physician: toward a collaborative alternative.

    abstract::Cultural values and beliefs about the primary care physician bolster the myth of the lone physician: a competent professional who is esteemed by colleagues and patients for his or her willingness to sacrifice self, accept complete responsibility for care, maintain continuity and accessibility, and assume the role of l...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.1353

    authors: Saba GW,Villela TJ,Chen E,Hammer H,Bodenheimer T

    更新日期:2012-03-01 00:00:00

  • Patient-provider racial and ethnic concordance and parent reports of the primary care experiences of children.

    abstract:PURPOSE:Studies among adults suggest that patient-provider racial concordance is associated with higher satisfaction and partnership with physicians. It remains unknown whether similar findings are true for children. This study examines the association of race/ethnicity concordance with parent reports of children's pri...

    journal_title:Annals of family medicine

    pub_type: 杂志文章

    doi:10.1370/afm.27

    authors: Stevens GD,Shi L,Cooper LA

    更新日期:2003-07-01 00:00:00