Health-Plan and Employer-Based Wellness Programs to Reduce Diabetes Risk: The Kaiser Permanente Northern California NEXT-D Study

Schmittdiel, Julie A.; Brown, Susan D.; Neugebauer, Romain; Adams, Sara R.; Adams, Alyce S.; Wiley, Deanne; Ferrara, Assiamira

doi:10.5888/pcd10.120146

Cited by 24 publications

(24 citation statements)

References 21 publications

(22 reference statements)

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“…Employee wellness programs can provide health coaching, with some larger companies (> 750 employees) offering health risk assessment or screening [26]. In 2012, employee absenteeism accounted for $5 billion of the $69 billion attributed to diabetes-related reduced productivity in 2012 (25 million workdays) [9]; thus, the implementation of such plans may be of financial benefit to employers.…”

Section: Discussionmentioning

confidence: 99%

United States comparative costs and absenteeism of diabetic ophthalmic conditions

Brook¹,

Kleinman²,

Patel

et al. 2014

Postgraduate Medicine

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Section: Discussionmentioning

confidence: 99%

United States comparative costs and absenteeism of diabetic ophthalmic conditions

Brook¹,

Kleinman²,

Patel

et al. 2014

Postgraduate Medicine

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“…16,17 Wellness coaching is a covered benefit offered at no cost to the approximately 2 million adult KPNC members who are made aware of the program through referrals by KPNC providers and staff, partnerships with employers, and direct patient outreach. The program is staffed by wellness coaches who are Master’s level clinical health educators extensively trained in MI, a patient-centered counseling style for addressing the common problem of ambivalence about change.…”

Section: Methodsmentioning

confidence: 99%

Telephone-Based Coaching

et al. 2016

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Purpose Many Americans continue to smoke, increasing their risk of disease and premature death. Both telephone-based counseling and in-person tobacco cessation classes may improve access for smokers seeking convenient support to quit. Little research has assessed whether such programs are effective in real-world clinical populations. Design Retrospective cohort study comparing wellness coaching participants with two groups of controls. Setting Kaiser Permanente, Northern California (KPNC), a large integrated health care delivery system. Subjects 241 patients who participated in telephonic tobacco cessation coaching from 1/1/2011–3/31/2012, and two control groups: propensity-score matched controls, and controls who participated in a tobacco cessation class during the same period. Wellness coaching participants received an average of two motivational interviewing based coaching sessions that engage the patient, evoke their reason to consider quitting and help them establish a quit plan. Measures Self-reported quitting of tobacco and fills of tobacco cessation medications within 12 months of follow-up. Analysis Logistic regressions adjusting for age, gender, race/ethnicity, and primary language. Results After adjusting for confounders, tobacco quit rates were higher among coaching participants vs. matched controls (31% vs. 23%, P<0.001) and comparable to class attendees (31% vs. 29%, P=0.28). Coaching participants and class attendees filled tobacco-cessation prescriptions at a higher rate (47% for both) than matched controls (6%, P<0.001). Conclusions Telephonic wellness coaching was as effective as in-person classes and was associated with higher rates of quitting compared to no treatment. The telephonic modality may increase convenience and scalability for health care systems looking to reduce tobacco use and improve health.

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“…Kaiser Permanente Northern California (KPNC) has partnered with a large healthcare purchaser to assess the impact of providing population-based telephonic wellness coaching, as well as a postpartum diabetes risk-reduction intervention targeting women who have had GDM. 38 These studies use multiple data sources and interrupted time series with control series, as well as pre–post longitudinal control group designs to assess patient satisfaction, perceptions of the programs, BMI, smoking-cessation rates, hemoglobin A1c and fasting plasma glucose levels, and onset of diabetes in populations. The studies will also examine potential impacts on health care and health disparities, as well as the efficiency and programmatic costs to help stakeholders understand the barriers and facilitators to expanding these programs within the health plan if they are found to be effective.…”

Section: Examples Of Existing Natural Experiments Supported By Next-dmentioning

confidence: 99%

Evaluating Diabetes Health Policies Using Natural Experiments

Ackermann¹,

Duru²,

Albu³

et al. 2015

American Journal of Preventive Medicine

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The high prevalence and costs of type 2 diabetes makes it a rapidly evolving focus of policy action. Health systems, employers, community organizations, and public agencies have increasingly looked to translate the benefits of promising research interventions into innovative polices intended to prevent or control diabetes. Though guided by research, these health policies provide no guarantee of effectiveness and may have opportunity costs or unintended consequences. Natural experiments use pragmatic and available data sources to compare specific policies to other policy alternatives or predictions of what would likely have happened in the absence of any intervention. The Natural Experiments for Translation in Diabetes (NEXT-D) Study is a network of academic, community, industry, and policy partners, collaborating to advance the methods and practice of natural experimental research, with a shared aim of identifying and prioritizing the best policies to prevent and control diabetes. This manuscript describes the NEXT-D Study group's multi-sector natural experiments in areas of diabetes prevention or control as case examples to illustrate the selection, design, analysis, and challenges inherent to natural experimental study approaches to inform development or evaluation of health policies.

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Health-Plan and Employer-Based Wellness Programs to Reduce Diabetes Risk: The Kaiser Permanente Northern California NEXT-D Study

Cited by 24 publications

References 21 publications

United States comparative costs and absenteeism of diabetic ophthalmic conditions

United States comparative costs and absenteeism of diabetic ophthalmic conditions

Telephone-Based Coaching

Evaluating Diabetes Health Policies Using Natural Experiments

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