J D Piette1. 1. Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park Division-152, 795 Willow Road, Menlo Park, CA 94025, USA. jpiette@stanford.edu
Abstract
PURPOSE: This paper reports the results of an assessment of automated telephone disease management (ATDM) among patients in 2 randomized trials evaluating ATDM as an adjunct to usual care. METHODS: During the 12-month follow-up interview, 256 low-income adults with diabetes from the intervention groups of 2 randomized trials were asked to respond to questions about their satisfaction with the ATDM process. Variation in satisfaction was examined across groups, and satisfaction reports were correlated with the extent to which patients completed ATDM assessments and used them to report glycemic levels or access educational messages. RESULTS: Overall, 85% of patients reported that they were satisfied with the ATDM calls, 82% reported that they would be more satisfied with their health care if such calls were available to patients, and 76% reported that they personally would choose to receive such calls in the future. Most patients reported few difficulties completing ATDM assessments and found the calls to be a useful adjunct to their care. Some, however, found the calls intrusive; 16% reported that the calls were a bother. CONCLUSIONS:Patients were satisfied with ATDM calls as part of their diabetes care. Satisfaction played some part in determining patients' use of ATDM assessment and health education, although other barriers also contributed to less than optimal usage rates.
RCT Entities:
PURPOSE: This paper reports the results of an assessment of automated telephone disease management (ATDM) among patients in 2 randomized trials evaluating ATDM as an adjunct to usual care. METHODS: During the 12-month follow-up interview, 256 low-income adults with diabetes from the intervention groups of 2 randomized trials were asked to respond to questions about their satisfaction with the ATDM process. Variation in satisfaction was examined across groups, and satisfaction reports were correlated with the extent to which patients completed ATDM assessments and used them to report glycemic levels or access educational messages. RESULTS: Overall, 85% of patients reported that they were satisfied with the ATDM calls, 82% reported that they would be more satisfied with their health care if such calls were available to patients, and 76% reported that they personally would choose to receive such calls in the future. Most patients reported few difficulties completing ATDM assessments and found the calls to be a useful adjunct to their care. Some, however, found the calls intrusive; 16% reported that the calls were a bother. CONCLUSIONS:Patients were satisfied with ATDM calls as part of their diabetes care. Satisfaction played some part in determining patients' use of ATDM assessment and health education, although other barriers also contributed to less than optimal usage rates.
Authors: Margaret F Zupa; John D Piette; Shelley C Stoll; D Scott Obrosky; Monique Boudreaux-Kelly; Ada O Youk; Luc Overholt; Ranak Trivedi; Michele Heisler; Ann-Marie Rosland Journal: Am J Manag Care Date: 2021-10 Impact factor: 2.229
Authors: Martin C Mahoney; Deborah O Erwin; Christy Widman; Annamaria Masucci Twarozek; Frances G Saad-Harfouche; Willie Underwood; Chester H Fox Journal: Health Educ Behav Date: 2013-11-26
Authors: John D Piette; Dana Striplin; Nicolle Marinec; Jenny Chen; Lynn A Gregory; Denise L Sumerlin; Angela M DeSantis; Carolyn Gibson; Ingrid Crause; Marylena Rouse; James E Aikens Journal: J Clin Trials Date: 2015-10-03