Abstract：
OBJECTIVE:To determine which patient factors contribute to improvements in the ABCs of diabetes following a multi-faceted diabetes care intervention. METHODS:A multi-level, cluster design, randomized controlled trial examined the effectiveness of a Chronic Care Model (CCM) intervention in an underserved community (n=119). RESULTS:Improvements in glycemic control were experienced among older subjects (p=0.02), those with higher scores on the WHO-10 Quality of Well-Being Subscale 1 (p=0.05), and those in the CCM group (p=0.04). Insulin use was associated with greater improvements in SBP and DBP. Those taking insulin (p=0.07), and those more satisfied with their diabetes care and ready to make a behavior change (p=0.08) experienced larger improvements in Non-HDLc. Medication treatment intensification (TI) did not significantly impact the ABCs. CONCLUSION:Psychosocial and sociodemographic factors explained more of the variation in the ABCs than TI, and are important contributors to clinical improvement. PRACTICE IMPLICATIONS:Providers may be able to identify and intervene on patients who are at risk for developing diabetes complications and improve the consistency, quality, and effectiveness of patient care.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Piatt GA,Songer TJ,Brooks MM,Anderson RM,Simmons D,Orchard TJ,Siminerio LM,Korytkowski MT,Zgibor JCdoi
10.1016/j.pec.2010.04.005subject
Has Abstractpub_date
2011-02-01 00:00:00pages
266-70issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(10)00174-6journal_volume
82pub_type
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