Cluster Randomized Trial of Diabetes Group Visits in Community Health Centers across the Midwest.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

Arshiya A Baig, Erin M Staab, Mengqi Zhu, Daisy Nunez, Jefferine Li, Wen Wan, Amanda Campbell, Cynthia T Schaefer, Michael T Quinn

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引用次数: 0

Abstract

Background: Diabetes group visits (GVs) have not been rigorously evaluated in community health centers.

Methods: This cluster randomized controlled study recruited adults with diabetes mellitus with glycosylated hemoglobin, A1C greater than or equal to eight percent: 75 intervention and 120 usual care. Group visit patients completed a six-month program. Primary outcome was A1C change from baseline to 12 months.

Results: Participants improved their A1C by 0.38%-0.40% with no difference across arms (p=.63). Group visit patients improved their diabetes social support, knowledge, and distress and were more likely to receive guideline-based care compared with control. Group visit patients with anxiety or depression were more likely to have a visit with behavioral health compared with usual care (p=.02).

Conclusions: Community health center patients with diabetes had improvements in glucose control across arms. Group visits improved the receipt of mental health care and guideline-based care.

本刊更多论文

中西部地区社区卫生中心糖尿病小组访问分组随机试验。

背景糖尿病小组访问（GVs）尚未在社区卫生中心得到严格评估：这项分组随机对照研究招募了糖化血红蛋白（A1C）大于或等于 8% 的成年糖尿病患者：75 人接受干预治疗，120 人接受常规治疗。小组访问患者完成为期 6 个月的计划。主要结果是 A1C 从基线到 12 个月的变化：结果：参与者的 A1C 下降了 0.38%-0.40%，各组之间无差异（P=.63）。与对照组相比，小组就诊患者的糖尿病社会支持、知识和困扰得到改善，更有可能接受基于指南的护理。与常规护理相比，焦虑或抑郁的集体就诊患者更有可能接受行为健康护理（P=.02）：结论：社区卫生中心的糖尿病患者在血糖控制方面均有改善。集体就诊改善了心理健康护理和基于指南的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.