Evaluation of a short, interactive diabetes self-management program by pharmacists for type 2 diabetes

被引:3
|
作者
Singh R.F. [1 ]
Kelly P. [2 ,3 ]
Tam A. [1 ,4 ]
Bronner J. [5 ,6 ]
Morello C.M. [1 ]
Hirsch J.D. [1 ]
机构
[1] Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, 9500 Gilman Drive, San Diego, 92093-0657, CA
[2] Department of Pharmacy, UC San Diego Health, 9435 Medical Center Drive, MC 7727, San Diego, 92037, CA
[3] 9500 Gilman Drive, MC 0764, San Diego, 92093, CA
[4] AIDS Healthcare Foundation, 4071 18th St., San Francisco, 94116, CA
[5] UC San Diego Health Internal Medicine, 8939 Villa San Diego Drive, San Diego, 92037, CA
[6] St Luke's Internal Medicine, 4800 N Cloverdale Road, Boise, 82713, ID
关键词
Diabetes; Education; Pharmacist; Self-management;
D O I
10.1186/s13104-018-3952-y
中图分类号
学科分类号
摘要
Objective: Numerous barriers prevent patients with type 2 diabetes (T2D) from completing a diabetes self-management program. We investigated whether patients with T2D exhibited improved clinical outcomes after attending a relatively short, interactive diabetes self-management program conducted by pharmacist diabetes educators, compared to a physician's usual care. Results: We retrospectively analyzed the data of adults with T2D who attended a diabetes self-management program (≥ 1 group meeting or individual appointment followed by a telephone interview from a pharmacist diabetes educator between May 2010 and Dec. 2012; n = 513) and compared their outcomes with those of T2D patients who received only their physician's usual care (n = 857). Each patient's A1C was assessed at baseline, 3 months, and 6 months post-intervention. The mean [SD] reduction in A1C percentage points in the T2D patients was significantly greater in the diabetes self-management program group compared to the physician's usual care group at both 3 months (- 0.8% [1.5] vs. - 0.2% [0.9], p < 0.001) and 6 months post-intervention (- 0.6% [1.3] vs. - 0.2% [1.1], p < 0.001). T2D patients significantly improved their glycemic control within 3-6 months of attending the diabetes self-management program compared to patients who only received their physician's usual care. © 2018 The Author(s).
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