PMID: 11911169Mar 26, 2002Paper

The impact of initiatives in education, self-management training, and computer-assisted self-care on outcomes in diabetes disease management

Diabetes Technology & Therapeutics
A M AlbisserM Sperlich

Abstract

The purpose of this work is to elucidate the advantages and disadvantages arising from three distinct diabetes disease management initiatives in a managed care setting. The initiatives included (1) education alone, (2) education with self-management training, and (3) education with computer-assisted self-care. Outcomes of interest were changes in glycated hemoglobin (HbA1c), body weight, and costs of care in each cohort of care recipients. A total of 978 health plan members with diabetes within a mixed model HMO were included in the initiatives for improving blood glucose control. HbA1c was measured at baseline and at 3 and 12 months, body weight at baseline and 12 months, and costs of care over 1 year. Costs were derived from suppliers and the health plan. The design is a longitudinal observation study. With the edu-cation-alone initiative, costs, HbA1c, and body weight were unchanged. When education is supplemented with ongoing self-management training, HbA1c fell 1.1% (p < 0.01), body weight rose by 11 kg (p < 0.01), and costs for care increased by $18 per member per month. When education is supplemented with ongoing computer-assisted self-care, HbA1c also dropped by 1.1% (p < 0.01), body weight was unchanged (p > 0.4), and ...Continue Reading

References

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Citations

Nov 3, 2005·International Journal of Technology Assessment in Health Care·Gerry RichardsonGill Ritchie
Sep 27, 2003·Diabetes Technology & Therapeutics·A Michael AlbisserLouise Parker
Jun 28, 2003·Diabetes Technology & Therapeutics·A Michael Albisser
Jan 3, 2006·Diabetes Technology & Therapeutics·A Michael AlbisserCamillo Ricordi
Jan 1, 2007·Journal of Diabetes Science and Technology·Carine CholeauGérard Reach
Feb 11, 2010·Journal of Diabetes Science and Technology·A Michael AlbisserCamillo Ricordi
Feb 11, 2010·Journal of Diabetes Science and Technology·A Michael AlbisserCamillo Ricordi
Oct 23, 2016·Diabetic Medicine : a Journal of the British Diabetic Association·C TeljeurM Ryan
Nov 15, 2019·European Journal of Preventive Cardiology·Dominique HansenHeinz Völler

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