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。

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

{"title":"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。","authors":"Carolina Noya, Abbey Alkon, Elizabeth Castillo, Angel Chen Kuo, Elizabeth Gatewood","doi":"10.1177/0145721720906792","DOIUrl":null,"url":null,"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.","PeriodicalId":50584,"journal":{"name":"Diabetes Educator","volume":"46 2","pages":"197-205"},"PeriodicalIF":3.9000,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0145721720906792","citationCount":"6","resultStr":"{\"title\":\"Shared Medical Appointments: An Academic-Community Partnership to Improve Care Among Adults With Type 2 Diabetes in California Central Valley Region.\",\"authors\":\"Carolina Noya, Abbey Alkon, Elizabeth Castillo, Angel Chen Kuo, Elizabeth Gatewood\",\"doi\":\"10.1177/0145721720906792\",\"DOIUrl\":null,\"url\":null,\"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.\",\"PeriodicalId\":50584,\"journal\":{\"name\":\"Diabetes Educator\",\"volume\":\"46 2\",\"pages\":\"197-205\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2020-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1177/0145721720906792\",\"citationCount\":\"6\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Diabetes Educator\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/0145721720906792\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2020/3/2 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"Health Professions\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Diabetes Educator","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/0145721720906792","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2020/3/2 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"Health Professions","Score":null,"Total":0}

引用次数: 6

摘要

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。

查看原文本刊更多论文

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

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.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

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.