Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Study design and baseline characteristics in the Chronic Care Model for type 2 diabetes

Stuckey, Heather L.; Dellasega, Cheryl; Graber, Nora; Mauger, David T.; Lendel, Irina; Gabbay, Robert A.

doi:10.1016/j.cct.2009.03.002

Cited by 57 publications

(57 citation statements)

References 42 publications

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“…It is assumed that clinical inertia is more likely to occur in patients who are less active and empowered, given that better educated patients tend to request more from health care providers and cope better with the challenge of developing the necessary motivation and skill to adhere to medical recommendations. Self-management support by intervening in the health education of patients is therefore a potentially important strategy to help overcome clinical inertia 34,37. Yet, at the same time, better empowered patients might be able to express different preferences, eg, attempting lifestyle changes prior to starting on medication.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with clinical inertia: an integrative review

Aujoulat¹,

Jacquemin²,

Rietzschel³

et al. 2014

AMEP

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Failure to initiate or intensify therapy according to evidence-based guidelines is increasingly being acknowledged as a phenomenon that contributes to inadequate management of chronic conditions, and is referred to as clinical inertia. However, the number and complexity of factors associated with the clinical reasoning that underlies the decision-making processes in medicine calls for a critical examination of the consistency of the concept. Indeed, in the absence of information on and justification of treatment decisions that were made, clinical inertia may be only apparent, and actually reflect good clinical practice. This integrative review seeks to address the factors generally associated with clinical inaction, in order to better delineate the concept of true clinical inertia.

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Section: Discussionmentioning

confidence: 99%

Factors associated with clinical inertia: an integrative review

Aujoulat¹,

Jacquemin²,

Rietzschel³

et al. 2014

AMEP

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“…Case Management offers an intervention to successful self-management of DM [24] through diabetes health education. The Case manager coordinated the activities performed by a nurse to provide the health care services required by patients [25].…”

Section: Discussionmentioning

confidence: 99%

Validation of educational material for diabetes self-management education: Judgemental and criterion validity

Kisokanth¹,

Prathapan²,

Indrakumar³

et al. 2018

biomedicalresearch

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Objective: To describe the validation process of an educational material for diabetes self-management education among patients with type 2 Diabetes Mellitus (T2DM). Methods: Methodological study, developed in three phases: construction of the educational material, validation of the educational material by judges, and by patients with T2DM (criterion validity). The validation process was conducted by 7 judges and 30 patients with T2DM. Criterion validity was assessed against gold standard by field expert. A 70% or more total disagreement of any of the items by the experts was decided to remove from the educational material. Criterion validity was measured by sensitivity, specificity, as well as the area under receiver operating characteristic (ROC) curve. The expected primary outcome was the HbA1c level to be decreased by 0.5% or more after the implementation of intervention guide among patients with T2DM. Results: The changes suggested by judges were accepted and included in the final version of the educational material. All experts (100%) agreed that illustrations and texts in the education material motivate the patient with T2DM to understand the important of lifestyle modifications. The sensitivity of the developed intervention guide was 81.5% (95% CI=61.9-93.7%) with a specificity of 100.0% (95% CI=15 which was statistically significant (p=0.000). Conclusion: The educational material was validated in terms of judgment and criterion validity. It would be used by nurse health educators for diabetes self-management education..

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“…Behavior change techniques like motivational intervention are promising in engaging patients to face ambivalence to treatment, identify barriers to therapy, and discus treatment decisions. 44,45 Future research is required to adapt these techniques into routine clinical practice for optimal results. 44,46 Clinical inertia quantifies the failure of providers to escalate treatment in the face of the obvious need to do so.…”

Section: Evidence For Bp Less Than 130/80 Mmhgmentioning

confidence: 99%

“…44,45 Future research is required to adapt these techniques into routine clinical practice for optimal results. 44,46 Clinical inertia quantifies the failure of providers to escalate treatment in the face of the obvious need to do so. 47 The prospective study ABATe evaluated clinical inertia for treatment of hypertension in 1169 patients with diabetes from 9 Veteran Administration facilities during 2005 to 2006.…”

Section: Evidence For Bp Less Than 130/80 Mmhgmentioning

confidence: 99%

Evidence-based approach for managing hypertension in type 2 diabetes

Gabbay¹

2010

IBPC

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Blood pressure (BP) control is a critical part of managing patients with type 2 diabetes. Perhaps it is the single most important aspect of diabetes care, which unlike hyperglycemia and dyslipidemia can reduce both micro-and macrovascular complications. Hypertension is more prevalent in individuals with diabetes than general population, and in most cases its treatment requires two or more pharmacological agents (about 30% of individuals with diabetes need 3 or more medications to control BP). In this article we describe the key evidence that has contributed to our understanding that reduced BP translates into positive micro-and macrovascular outcomes. We review the data supporting current recommendation for BP target , 130/80 mmHg. Two studies suggest that a lower BP goal could be even more beneficial. We also present the comparative benefits of various antihypertensive drugs in reducing diabetes-related micro-and macrovascular complications. Finally we propose an evidence-based algorithm of how to initiate and titrate antihypertensive pharmacotherapy in affected individuals. Overall, achieving BP , 130/80 mmHg is more important than searching for the "best" antihypertensive agent in patients with diabetes.

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Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Study design and baseline characteristics in the Chronic Care Model for type 2 diabetes

Cited by 57 publications

References 42 publications

Factors associated with clinical inertia: an integrative review

Factors associated with clinical inertia: an integrative review

Validation of educational material for diabetes self-management education: Judgemental and criterion validity

Evidence-based approach for managing hypertension in type 2 diabetes

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