The Cholesterol, Hypertension, And Glucose Education (CHANGE) study: Results from a randomized controlled trial in African Americans with diabetes

Crowley, Matthew J; Powers, Benjamin; Olsen, Maren K.; Grubber, Janet M.; Koropchak, Celine M.; Rose, Cynthia M.; Gentry, Pamela; Bowlby, Lynn; Trujillo, Gloria; Maciejewski, Matthew L.; Bosworth, Hayden B.

doi:10.1016/j.ahj.2013.04.004

Cited by 60 publications

(106 citation statements)

References 30 publications

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“…Telephone-delivered interventions are a potentially cost-effective method for enhancing a wide range of medical outcomes, particularly those that depend on patient adherence. 15,16 The present study demonstrated that education and telephone follow-up on a regular basis led to a marked increase in average self-care scores of patients. Understanding of diabetes by the patients helps them to accept that diabetes is a chronic condition and enhances the perception that diabetes has to be taken seriously.…”

Section: Discussionmentioning

confidence: 83%

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Kanadli

Ovayolu

2016

Holistic Nursing Practice

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The major goal of diabetes control is to assist patients to perform self-care and metabolic control. One possible way to achieve this goal is education and regular monitoring of patients by telephone. Thus, the present study was conducted with the aim of investigating the impact of education and telephone follow-up on self-care and metabolic control in diabetic patients. This experimental study was conducted at a hospital in the Central Anatolia region of Turkey, with 88 diabetic patients including 44 intervention subjects and 44 control subjects. After an initial discussion, patients in the intervention group received education and telephone follow-up for 3 months. Required approvals were obtained before initiation of the study. Data were collected using a questionnaire form and the Diabetes Self-Care Scale. The Diabetes Self-Care Scale scores ranged between 140 and 210, where higher scores indicated increased self-care activities of patients. At the end of the study, the self-care score was found to increase from 61.3 ± 10.9 to 89.9 ± 12.3 in the intervention group (P < .005), but it showed a reduction from 56.5 ± 7.6 to 54.7 ± 9.3 after 3-month period in the control group. Education and telephone follow-up was also found to reduce the values of several variables of metabolic control including hemoglobin A1c, total cholesterol, triglycerides, low-density lipoprotein cholesterol, and systolic blood pressure. In conclusion, education and telephone follow-up of diabetic patients led to increased self-care scores and had a positive impact on metabolic control variables. In light of these findings, we suggest that education and tele-health home monitoring may be provided on a continuous basis to help patients sustain self-care behaviors that they have adopted during the study period.

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Section: Discussionmentioning

confidence: 83%

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Kanadli

Ovayolu

2016

Holistic Nursing Practice

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“…HbA1C was assessed at 3-12 months' follow-up. Six studies examined whether the interventions had differing effects between people with low and those with high literacy across the three outcome domains (Cavanaugh et al, 2009;Crowley et al, 2013;Gerber et al, 2005;Khan et al, 2011;Schillinger et al, 2009). …”

Section: Study Characteristicsmentioning

confidence: 98%

“…The majority of the interventions were educational programs on diabetes management delivered in-person, via telephone, or via computer multimedia. The remaining studies included medication management facilitation through contact with primary care providers (Crowley et al, 2013), and problem-solving training (Hill-Briggs et al, 2011). Regarding the study population, two studies recruited only participants with low health literacy (Moussa, Sherrod, & Original Article Choi, 2013;Negarandeh, Mahmoodi, Noktehdan, Heshmat, & Shakibazadeh, 2013).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The strategy of encouraging questions was used in one study; specifically, a conversation map was used to facilitate discussion and patients' participation in self-care of diabetes (Swavely et al, 2014). The strategy of motivational interviewing was used in one study with the goal of assisting patients in working through their ambivalence concerning behavior change (Crowley et al, 2013).…”

Section: Strategies Of Health-literacy-sensitive Diabetes Management mentioning

confidence: 99%

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Health‐Literacy‐Sensitive Diabetes Self‐Management Interventions: A Systematic Review and Meta‐Analysis

Kim

Lee

2016

Worldviews Ev Based Nurs

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Healthcare providers should consider active implementation of strategies for accommodating people with low health literacy in diabetes self-management interventions. The routine use of spoken communication strategies would be necessary to achieve the best health outcomes in diabetes self-management interventions. More research is needed to determine the individual effects of the key strategies that improve health and reduce health disparity.

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“…Otros estudios no mostraron efecto beneficioso en los valores de colesterol. También se debe comentar que la mayoría de estos estudios no estaban diseñados con este propósito [88,93,95,96,97,98]. El grado de cumplimiento de los objetivos de control del colesterol HDL disminuyó en el GI y se mantuvo igual en el GNI (Tabla 7…”

Section: Hba1cunclassified

Impacto de un programa educativo en el control de la diabetes mellitus tipo 2

Altava¹

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The Cholesterol, Hypertension, And Glucose Education (CHANGE) study: Results from a randomized controlled trial in African Americans with diabetes

Cited by 60 publications

References 30 publications

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Does Telephone Follow-Up and Education Affect Self-Care and Metabolic Control in Diabetic Patients?

Health‐Literacy‐Sensitive Diabetes Self‐Management Interventions: A Systematic Review and Meta‐Analysis

Impacto de un programa educativo en el control de la diabetes mellitus tipo 2

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