title: Employer-Based Screening for Diabetes and Prediabetes in an Integrated Health Care Delivery System: A Natural Experiment for Translation in Diabetes (NEXT-D) Study.
abstract: OBJECTIVE
  This study evaluates an employer-based diabetes/prediabetes screening intervention that invited at-risk employees via letters, secure e-mails, and automated voice messages to complete blood glucose testing at a health plan facility.
  
  
  METHODS
  Quasi-experimental cohort study among health plan members insured by two employers that received the intervention and three employers that were selected as control sites.
  
  
  RESULTS
  The proportion of at-risk members that completed a screening was higher in the intervention group than in the control group (36% vs 13%, P < 0.001, adjusted for patient characteristics). Among those screened in the intervention group, the presence of obesity, hypertension, hyperlipidemia, and tobacco use were significant predictors of having a result that indicated diabetes or prediabetes (P < 0.05, all comparisons).
  
  
  CONCLUSIONS
  A low-intensity, employer-based intervention conducted in collaboration with a health care delivery system effectively increased screening for diabetes/prediabetes.
authors.affiliation: Division of Research (Ms Adams, Ms Wiley, Dr Neugebauer, and Dr Schmittdiel), Kaiser Permanente Northern California; and Customer Analytics and Reporting (Ms Fargeix, Ms George), Kaiser Permanente, Program Offices, Oakland, California. Ms George has now retired.
authors.forename: Sara R
authors.initials: SR
authors.lastname: Adams
authors.forename: Deanne M
authors.initials: DM
authors.lastname: Wiley
authors.forename: Andromache
authors.initials: A
authors.lastname: Fargeix
authors.forename: Victoria
authors.initials: V
authors.lastname: George
authors.forename: Romain S
authors.initials: RS
authors.lastname: Neugebauer
authors.forename: Julie A
authors.initials: JA
authors.lastname: Schmittdiel
mesh_terms: D002140:California; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011236:Prediabetic State / Q000175:diagnosis*