Shared Medical Appointments: An Academic-Community Partnership to Improve Care Among Adults With Type 2 Diabetes in California Central Valley Region.

IF 3.9 Q1 Health Professions

Diabetes Educator Pub Date : 2020-04-01 Epub Date: 2020-03-02 DOI:10.1177/0145721720906792

Carolina Noya, Abbey Alkon, Elizabeth Castillo, Angel Chen Kuo, Elizabeth Gatewood

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引用次数: 6

Abstract

Purpose: The purpose of the study was to evaluate the effectiveness of ALDEA (Latinos con Diabetes en Acción), a Shared Medical Appointment (SMA) intervention, compared to usual primary care (UPC) for the treatment of adults with type 2 diabetes over a 6-month period. It was hypothesized that participants in the SMA will have greater reductions in A1C at 6 months post-intervention compared to the control group.

Methods: This study was a quasi-experimental design with a non-randomized matched control group that followed participants prospectively for 6 months. All adults living with type-2 diabetes receiving primary care at a 2 FQHC clinics were eligible for inclusion. Participants in the control group were matched retrospectively on baseline A1C and age.

Results: The reductions in A1C were greater in the ALDEA SMA intervention group relative to the UPC control group at 6 months in both of the FQHC centers and in the combined sample.

Conclusions: This study demonstrated that patients in the ALDEA program had a significantly greater reduction in A1C at 6 months compared to the control group. Despite its limitations, the ALDEA SMA program was successful in empowering patients and improving glycemic control.

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共享医疗预约:一个学术社区合作伙伴关系，以改善加州中央山谷地区成人2型糖尿病患者的护理。

目的:该研究的目的是评估ALDEA (Latinos con Diabetes en Acción)，一种共享医疗预约(SMA)干预，与常规初级保健(UPC)相比，在6个月的时间内治疗成人2型糖尿病的有效性。假设与对照组相比，SMA参与者在干预后6个月的A1C降低幅度更大。方法:本研究采用准实验设计，采用非随机匹配对照组，前瞻性随访6个月。所有在2家FQHC诊所接受初级保健的2型糖尿病成人患者均符合入选条件。对照组的参与者在基线A1C和年龄上进行回顾性匹配。结果:在两个FQHC中心和联合样本中，ALDEA SMA干预组在6个月时的A1C降低幅度大于UPC对照组。结论:本研究表明，与对照组相比，ALDEA项目的患者在6个月时的A1C降低幅度明显更大。尽管存在局限性，但ALDEA SMA项目在增强患者能力和改善血糖控制方面取得了成功。

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

Diabetes Educator 医学-内分泌学与代谢

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The Diabetes Educator (TDE) is the official journal of the American Association of Diabetes Educators (AADE). It is a peer-reviewed journal intended to serve as a reference source for the science and art of diabetes management. TDE publishes original articles that relate to aspects of patient care and education, clinical practice and/or research, and the multidisciplinary profession of diabetes education as represented by nurses, dietitians, physicians, pharmacists, mental health professionals, podiatrists, and exercise physiologists.