Renee E Cole1, Kathleen M Boyer2, Sean M Spanbauer1, Denise Sprague2, Mona Bingham3. 1. US Army Medical Department Center & School, Joint Base San Antonio-Fort Sam Houston, TX, USA (Mrs Cole, Mr Spanbauer) 2. Brooke Army Medical Center, San Antonio Military Medical Center, Joint Base San Antonio–Fort Sam Houston, TX, USA (Mrs Boyer, Mrs Sprague) 3. Samueli Institute, Alexandria, VA, USA (Ms Bingham)
Abstract
PURPOSE: The purpose of this study is to evaluate the effectiveness of a nutrition-based shared medical appointment (SMA) intervention in the treatment of prediabetes compared to the individualized counseling standard of care. METHODS: A randomized controlled trial design comparing health outcomes in patients with prediabetes attending either anindividualized counseling (control group) or three 90-minute nutrition SMA (intervention group) sessions. Demographic, anthropometric (weight and body mass index), clinical (blood pressure), and biochemical (lipid profile, fasting blood sugar, glycated hemoglobin, albumin-to-creatinine ratio) measures were obtained from all participants at baseline, at 3 months, and at 1 year. RESULTS:Ninety-four participants were randomized into the 2 study groups with a 69% completion rate at 1 year (n = 34 SMA, n = 31 control). The average participant was Caucasian (64%), male (54%), 58.3 ±9.6 years, had a BMI of 30.8 ± 4.9 kg/m(2) (obese), and fasting blood glucose of 109 ± 9.5 mg/dL. The SMA and control participants lost a mean of 6.6 pounds and 3.6 pound, respectively; neither group met the 5% modest weight loss expected. The SMA and control group experienced a mean drop in fasting blood glucose of 6 mg/dL. CONCLUSIONS: As demands on health care providers continue to rise, finding innovative ways to manage the patient load while providing quality health care is increasingly important. SMA health outcomes were equivalent to individual counseling outcomes, while increasing the provider's productivity by treating 6 to 8 people with prediabetes in 90 minutes compared to 1 patient in 60 minutes.
RCT Entities:
PURPOSE: The purpose of this study is to evaluate the effectiveness of a nutrition-based shared medical appointment (SMA) intervention in the treatment of prediabetes compared to the individualized counseling standard of care. METHODS: A randomized controlled trial design comparing health outcomes in patients with prediabetes attending either an individualized counseling (control group) or three 90-minute nutrition SMA (intervention group) sessions. Demographic, anthropometric (weight and body mass index), clinical (blood pressure), and biochemical (lipid profile, fasting blood sugar, glycated hemoglobin, albumin-to-creatinine ratio) measures were obtained from all participants at baseline, at 3 months, and at 1 year. RESULTS: Ninety-four participants were randomized into the 2 study groups with a 69% completion rate at 1 year (n = 34 SMA, n = 31 control). The average participant was Caucasian (64%), male (54%), 58.3 ± 9.6 years, had a BMI of 30.8 ± 4.9 kg/m(2) (obese), and fasting blood glucose of 109 ± 9.5 mg/dL. The SMA and control participants lost a mean of 6.6 pounds and 3.6 pound, respectively; neither group met the 5% modest weight loss expected. The SMA and control group experienced a mean drop in fasting blood glucose of 6 mg/dL. CONCLUSIONS: As demands on health care providers continue to rise, finding innovative ways to manage the patient load while providing quality health care is increasingly important. SMA health outcomes were equivalent to individual counseling outcomes, while increasing the provider's productivity by treating 6 to 8 people with prediabetes in 90 minutes compared to 1 patient in 60 minutes.
Authors: Ethan M Balk; Amy Earley; Gowri Raman; Esther A Avendano; Anastassios G Pittas; Patrick L Remington Journal: Ann Intern Med Date: 2015-09-15 Impact factor: 25.391
Authors: Annemiek Visser; Hanneke W M van Laarhoven; Paulien H M Govaert; Margrethe S Schlooz; Lisette Jansen; Thijs van Dalen; Judith B Prins Journal: J Cancer Surviv Date: 2015-01-13 Impact factor: 4.442
Authors: Xuanping Zhang; Heather M Devlin; Bryce Smith; Giuseppina Imperatore; William Thomas; Felipe Lobelo; Mohammed K Ali; Keri Norris; Stephanie Gruss; Barbara Bardenheier; Pyone Cho; Isabel Garcia de Quevedo; Uma Mudaliar; Christopher D Jones; Jeffrey M Durthaler; Jinan Saaddine; Linda S Geiss; Edward W Gregg Journal: PLoS One Date: 2017-05-11 Impact factor: 3.240
Authors: Shayna D Cunningham; Ryan A Sutherland; Chloe W Yee; Jordan L Thomas; Joan K Monin; Jeannette R Ickovics; Jessica B Lewis Journal: Int J Environ Res Public Health Date: 2021-12-02 Impact factor: 3.390
Authors: Joan M Griffin; Lynette G Stuart-Mullen; Monika M Schmidt; Pamela J McCabe; Thomas J O'Byrne; Megan E Branda; Christopher J McLeod Journal: Mayo Clin Proc Innov Qual Outcomes Date: 2018-07-27