Evaluating the Efficacy of an Empowerment-Based Self-Management Consultant Intervention: Results of a Two-Year Randomized Controlled Trial.

Q3 Social Sciences
Robert M Anderson, Martha M Funnell, James E Aikens, Sarah L Krein, James T Fitzgerald, Robin Nwankwo, Cheryl L Tannas, Tricia S Tang
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Abstract

OBJECTIVES: This study was conducted to determine if an empowerment-based Diabetes Self-Management Consultant (DSMC) was more effective than a group receiving Mailed metabolic Assessments Only (MAO) in improving diabetes-related quality of life and blood glucose control. MATERIALS AND METHODS: A two-year clinical trial, in which 310 patients with type 2 diabetes were randomized to the DSMC intervention or the MAO group. The DSMC met with the patient to review the baseline assessments, then met with this review was patient and the patient's physician. Subsequently patients received monthly telephone calls from the DSMC who used the empowerment approach to help patients identify self-management problems, consider options, set goals and make adjustments to their diabetes self-management plans. RESULTS: The Diabetes Self-Management Consultant (DSMC) intervention resulted in improvements in diabetes related quality of life (PAID) p= .008, the Empowerment Scale p= .024, A1C p= .016, Perceived understanding of diabetes p= .001 and satisfaction with diabetes care p= .019 as compared to the MAO group. DISCUSSION/CONCLUSION: The DSMC the intervention resulted in a broad array of modest diabetes related improvements. A promising area for future research would be to test the efficacy of combining an empowerment-based DSMC intervention with case management using algorithm-based medication adjustments for higher risk patients.

评估基于授权的自我管理咨询师干预的有效性:一项为期两年的随机对照试验的结果。
目的:本研究旨在确定在改善糖尿病相关生活质量和血糖控制方面,基于赋权的糖尿病自我管理顾问(DSMC)是否比仅接受邮寄代谢评估(MAO)的组更有效。材料和方法:一项为期两年的临床试验,其中310例2型糖尿病患者被随机分为DSMC干预组或MAO组。DSMC与患者会面,审查基线评估,然后由患者和患者的医生进行审查。随后,患者每月接到DSMC的电话,他们使用授权方法帮助患者识别自我管理问题,考虑选择,设定目标并调整糖尿病自我管理计划。结果:与MAO组相比,糖尿病自我管理咨询师(DSMC)干预导致糖尿病相关生活质量(PAID) p= 0.008,赋权量表p= 0.024,糖化血红蛋白p= 0.016,糖尿病认知p= 0.001,糖尿病护理满意度p= 0.019。讨论/结论:DSMC干预导致了广泛的糖尿病相关改善。未来研究的一个有希望的领域是测试将基于赋权的DSMC干预与使用基于算法的药物调整的高风险患者的病例管理相结合的效果。
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
Education Therapeutique du Patient
Education Therapeutique du Patient Social Sciences-Education
CiteScore
0.80
自引率
0.00%
发文量
4
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