Ashley N Saucier1, Benjamin Ansa2, Janis Coffin3, Mariam Akhtar4, Andre Miller5, Holly Mahoney5, Denise M Hodo6, Carla Duffie7, Brittney Fontenot8, Holly E Andrews6, Selina A Smith9. 1. Associate Professor & Associate Director of Medical Student Education, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 2. Senior Research Associate, Institute of Public & Preventative Health, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 3. Professor & Family Medicine Clinic Director, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 4. Assistant Professor, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 5. Chief Resident, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 6. Research Associate, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 7. Clinic Coordinator, Department of Family Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 8. Research Associate, Institute of Public & Preventative Health, Medical College of Georgia at Augusta University, Augusta, Georgia, USA. 9. Director of Research, Professor & Curtis G. Hames, MD, Distinguished Chair, Department of Family Medicine Medical College of Georgia at Augusta University; President, Georgia Public Health Association & Editor, Journal of the Georgia Public Health Association, Augusta, Georgia, USA.
Abstract
PURPOSE: This cross sectional study examines patients' knowledge, attitudes and beliefs about a diabetic care management plan (DCMP) that was developed to provide patient education on diabetes guidelines and display individual diabetic core measures. Secondary objectives included a comparison of diabetic core measures [hemoglobin A1C (HbA1C), systolic and diastolic blood pressure (SBP, DBP), low-density lipoprotein (LDL) and urine microalbumin (Um)] before and after DCMP implementation. We hypothesize this tool will contribute to patients' awareness of current disease status, diabetes knowledge and diabetic core value improvement over time. METHODS: A consecutive sample of 102 adult patients with diabetes mellitus type 2 in a primary care setting participated. Patients' perspectives on the care plan and knowledge about diabetes was collected via survey after care plan implementation. A comparison of selected diabetic core measures was conducted at baseline and post-DCMP. Descriptive statistics summarized survey response and diabetic core measures. A repeated measures ANOVA was used to assess change in diabetic core measures over time. RESULTS: Participants understood the DCMP (96%), found it important because it explained their laboratory results and medications (89%) and believed it would help them to have better diabetic control (99%). There was a significant interaction between time and being at goal pre-DCMP for HbA1c, SBP and LDL. Patients not at goal pre-DCMP for the above measures decreased significantly over time (P = <0.01 for HbA1c, SBP and LDL). Participants at goal for all diabetic core measures increased pre- to post-DCMP from 13% to 20% (P = 0.28). CONCLUSION: Patients perceived the diabetic care management plan favorably and their diabetic core measurements improved over time. This simple and reproducible self-management intervention can enhance self-management in a patient population with diabetes mellitus type 2.
PURPOSE: This cross sectional study examines patients' knowledge, attitudes and beliefs about a diabetic care management plan (DCMP) that was developed to provide patient education on diabetes guidelines and display individual diabetic core measures. Secondary objectives included a comparison of diabetic core measures [hemoglobin A1C (HbA1C), systolic and diastolic blood pressure (SBP, DBP), low-density lipoprotein (LDL) and urine microalbumin (Um)] before and after DCMP implementation. We hypothesize this tool will contribute to patients' awareness of current disease status, diabetes knowledge and diabetic core value improvement over time. METHODS: A consecutive sample of 102 adult patients with diabetes mellitus type 2 in a primary care setting participated. Patients' perspectives on the care plan and knowledge about diabetes was collected via survey after care plan implementation. A comparison of selected diabetic core measures was conducted at baseline and post-DCMP. Descriptive statistics summarized survey response and diabetic core measures. A repeated measures ANOVA was used to assess change in diabetic core measures over time. RESULTS:Participants understood the DCMP (96%), found it important because it explained their laboratory results and medications (89%) and believed it would help them to have better diabetic control (99%). There was a significant interaction between time and being at goal pre-DCMP for HbA1c, SBP and LDL. Patients not at goal pre-DCMP for the above measures decreased significantly over time (P = <0.01 for HbA1c, SBP and LDL). Participants at goal for all diabetic core measures increased pre- to post-DCMP from 13% to 20% (P = 0.28). CONCLUSION:Patients perceived the diabetic care management plan favorably and their diabetic core measurements improved over time. This simple and reproducible self-management intervention can enhance self-management in a patient population with diabetes mellitus type 2.
Entities:
Keywords:
Chronic care management; diabetes mellitus; medical home; patient self-management support; patient-centered outcomes research; person-centered healthcare
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