Eine Plattform für die Wissenschaft: Bauingenieurwesen, Architektur und Urbanistik
Eine Plattform für die Wissenschaft: Bauingenieurwesen, Architektur und Urbanistik
Effect of Case Management on Glycemic Control and Behavioral Outcomes for Chinese People with Type 2 Diabetes: A 2-year Study
AbstractObjective To examine the effect of case management on glycemic control and behavioral outcomes in adults with Type 2 diabetes in China. Methods Participants were randomly assigned to a 1-year case management (CM) group (n = 60) or control group (n = 60). Monthly case management visits included identifying individuals’ diabetes-related problems, setting goals, planning self-care, and evaluating progress. During a 1-year follow-up, all participants attended visits every 3 months without intervention. Results In the CM vs. the control group, HbA1c was reduced at 6 months compared to baseline (P = 0.034), with trends at 12 and 24 months, and empowerment ability improved (P < 0.05). Also in the CM vs. controls, total self-care behaviors, the frequency of exercise, blood glucose testing, and foot care were higher (P < 0.001) at 12 months, and the percentage of individuals with HbA1c ≤ 7.0% was higher (P = 0.035) at 24 months. Conclusion The case management intervention in China was effective at 6 months and, based on trends in HbA1c at 12 and 24 months and results for behavioral outcomes, the intervention shows promise and warrants more research. Practice implications A case management approach can enhance behavior change and glycemic control in Chinese with diabetes.
Effect of Case Management on Glycemic Control and Behavioral Outcomes for Chinese People with Type 2 Diabetes: A 2-year Study
AbstractObjective To examine the effect of case management on glycemic control and behavioral outcomes in adults with Type 2 diabetes in China. Methods Participants were randomly assigned to a 1-year case management (CM) group (n = 60) or control group (n = 60). Monthly case management visits included identifying individuals’ diabetes-related problems, setting goals, planning self-care, and evaluating progress. During a 1-year follow-up, all participants attended visits every 3 months without intervention. Results In the CM vs. the control group, HbA1c was reduced at 6 months compared to baseline (P = 0.034), with trends at 12 and 24 months, and empowerment ability improved (P < 0.05). Also in the CM vs. controls, total self-care behaviors, the frequency of exercise, blood glucose testing, and foot care were higher (P < 0.001) at 12 months, and the percentage of individuals with HbA1c ≤ 7.0% was higher (P = 0.035) at 24 months. Conclusion The case management intervention in China was effective at 6 months and, based on trends in HbA1c at 12 and 24 months and results for behavioral outcomes, the intervention shows promise and warrants more research. Practice implications A case management approach can enhance behavior change and glycemic control in Chinese with diabetes.
Effect of Case Management on Glycemic Control and Behavioral Outcomes for Chinese People with Type 2 Diabetes: A 2-year Study
Yuan, Xiaodan (Autor:in) / Wang, Fengmei (Autor:in) / Fish, Anne Folta (Autor:in) / Xue, Cunyi (Autor:in) / Chen, Tao (Autor:in) / Liu, Chao (Autor:in) / Lou, Qingqing (Autor:in)
15.03.2016
Yuan , X , Wang , F , Fish , A F , Xue , C , Chen , T , Liu , C & Lou , Q 2016 , ' Effect of Case Management on Glycemic Control and Behavioral Outcomes for Chinese People with Type 2 Diabetes: A 2-year Study ' , Patient Education and Counseling . https://doi.org/10.1016/j.pec.2016.03.010
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
DDC:
710
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