Improving the quality of diabetes care: a behavioral health intervention.
The purpose of this study is to assess the impact of a group-based program on glucose control for adults with diabetes. Ninety-two adults completed the program aimed at identifying and overcoming barriers to diabetes self-management with the use of behavioral strategies. A comparison group consisted of 275 adults with diabetes not participating in the program matched for age, gender, type of insurance coverage, and initial hemoglobin Alc (HbAlc) result. Members completing the program demonstrated significant improvements in HbAlc results at both the first and second postgroup measurements. Regression analyses identified initial HbAlc result and the interaction of condition and initial HbAlc as significant predictors of improvement in HbAlc. The quality of diabetes care and treatment outcomes can be enhanced with the inclusion of a low-cost, structured program led by a behavioral health professional.
Kolbasovsky
Andrew
A
Mental Health Disease Management and Clinical Development at EmblemHealth. akolbasovsky@emblemhealth.com
Reich
Leonard
L
D000368:Aged; D001524:Behavioral Medicine; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D005947:Glucose / Q000032:analysis; D006442:Glycated Hemoglobin / Q000032:analysis; D038321:Glycemic Index; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D015397:Program Evaluation; D011787:Quality of Health Care
D005947:Glucose; D006442:Glycated Hemoglobin; C517652:hemoglobin A1c protein, human