The Synergy to Enable Glycemic Control Following Emergency Department Discharge Program for Adults with Type 2 Diabetes: Step-Diabetes

Magee, Michelle F.; Nassar, Carine M.; Mete, Mihri ye; White, Keyoana; Youssef, Gretchen; Dubin, J.

doi:10.4158/ep15655.or

Cited by 18 publications

(31 citation statements)

References 30 publications

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“…Eight studies used a quasi-experimental design, 45-52 4 studies were randomized controlled trials (RCTs), 53-56 and 2 used a case-control design. 57,58 Eleven studies included participants with T2DM, 45,47-49,52-58 and 3 included participants with T1DM. 46,50,51 All 14 retained studies were published between 2008 and 2017.…”

Section: Resultsmentioning

confidence: 99%

“…Intervention approaches included the provision or evaluation of education only (n = 7) 47,48,52-54,57,58 as well as pharmacologic interventions and/or management in addition to education (n = 7). 45,46,49-51,55,56 The professional discipline of interventionists varied greatly between studies. Certified diabetes educators (CDEs) were identified specifically as interventionists in 5 of the 14 studies.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies reported involvement of a multiprofessional team either in the design or in the delivery of the intervention. 46,49,51,55,56…”

Section: Resultsmentioning

confidence: 99%

“…53 Retrospective claims data were used in both retained case-control studies, which included participants who had at least 1 claim for counseling or education. 57,58 The length of follow-up for the studies ranged from 3 months 55 to 18 months. 53 Most follow-up data were measured at 12 months.…”

Section: Resultsmentioning

confidence: 99%

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Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

et al. 2019

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Purpose The primary purpose of this study is to report a systematic review of evidence and gaps in the literature among well-conducted studies assessing the impact of diabetes education on hypoglycemia outcomes and secondarily reporting the impact on other included target outcomes. Methods The authors used a modified Cochrane method to systematically search and review English-language titles, abstracts, and full-text articles published in the United States between January 2001 and December 2017, with diabetes education specified as an intervention and a directly measurable outcome for hypoglycemia risk or events included. Results Fourteen quasi-experimental, experimental, and case-control studies met the inclusion criteria, with 8 articles reporting a positive impact of diabetes self-management education and support (DSMES) on hypoglycemia outcomes; 2 of the 8 reported decreased hypoglycemia events, and 1 reported decreased events in both the intervention and control groups. In addition, 5 studies targeted change in reported hypoglycemia symptoms, with all 5 reporting a significant decrease. DSMES also demonstrated an impact on intermediate (knowledge gain, behavior change) and long-term (humanistic and economic/utilization) outcomes. An absence of common hypoglycemia measures and terminology and suboptimal descriptions of DSMES programs for content, delivery, duration, practitioner types, and participants were identified as gaps in the literature. Conclusions Most retained studies reported that diabetes education positively affected varied measures of hypoglycemia outcomes (number of events, reported symptoms) as well as other targeted outcomes. Diabetes education is an important intervention for reducing hypoglycemia events and/or symptoms and should be included as a component of future hypoglycemia risk mitigation studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Five studies reported involvement of a multiprofessional team either in the design or in the delivery of the intervention. 46,49,51,55,56…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

et al. 2019

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“…A multi-center, randomized controlled trial (RCT) found that an intensive program of primary care outpatient follow-up after hospital discharge surprisingly increased re-admissions among veterans with chronic conditions, including diabetes (4). Among patients with uncontrolled type 2 diabetes being discharged from an ED, a single-center RCT providing diabetes medication management and self-management education improved glycemic control and medication adherence at 4 weeks (5). This program had the advantage of delivering the intervention to all participants but the disadvantage of being limited by the availability of in-person diabetes education (6).…”

mentioning

confidence: 99%

Transitioning Patients With Diabetes Out Of Emergency Departments: A Path Towards Better Outcomes And Lower Costs?

Rubin¹

2016

Endocrine Practice

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Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

Yogasingam

Konnyu

Lépine

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a large body of evidence evaluating quality improvement (QI) programmes to improve care for adults living with diabetes. These programmes are often comprised of multiple QI strategies, which may be implemented in various combinations. Decision‐makers planning to implement or evaluate a new QI programme, or both, need reliable evidence on the relative effectiveness of different QI strategies (individually and in combination) for different patient populations. Objectives To update existing systematic reviews of diabetes QI programmes and apply novel meta‐analytical techniques to estimate the effectiveness of QI strategies (individually and in combination) on diabetes quality of care. Search methods We searched databases (CENTRAL, MEDLINE, Embase and CINAHL) and trials registers (ClinicalTrials.gov and WHO ICTRP) to 4 June 2019. We conducted a top‐up search to 23 September 2021; we screened these search results and 42 studies meeting our eligibility criteria are available in the awaiting classification section. Selection criteria We included randomised trials that assessed a QI programme to improve care in outpatient settings for people living with diabetes. QI programmes needed to evaluate at least one system‐ or provider‐targeted QI strategy alone or in combination with a patient‐targeted strategy. ‐ System‐targeted: case management (CM); team changes (TC); electronic patient registry (EPR); facilitated relay of clinical information (FR); continuous quality improvement (CQI). ‐ Provider‐targeted: audit and feedback (AF); clinician education (CE); clinician reminders (CR); financial incentives (FI). ‐ Patient‐targeted: patient education (PE); promotion of self‐management (PSM); patient reminders (PR). Patient‐targeted QI strategies needed to occur with a minimum of one provider or system‐targeted strategy. Data collection and analysis We dual‐screened search results and abstracted data on study design, study population and QI strategies. We assessed the impact of the programmes on 13 measures of diabetes care, including: glycaemic control (e.g. mean glycated haemoglobin (HbA1c)); cardiovascular risk factor management (e.g. mean systolic blood pressure (SBP), low‐density lipoprotein cholesterol (LDL‐C), proportion of people living with diabetes that quit smoking or receiving cardiovascular medications); and screening/prevention of microvascular complications (e.g. proportion of patients receiving retinopathy or foot screening); and harms (e.g. proportion of patients experiencing adverse hypoglycaemia or hyperglycaemia). We modelled the association of each QI strategy with outcomes using a series of hierarchical multivariable meta‐regression models in a Bayesian framework. The previous version of this review identified that different strategies were more or less effective depending on baseline levels of outco...

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The Synergy to Enable Glycemic Control Following Emergency Department Discharge Program for Adults with Type 2 Diabetes: Step-Diabetes

Cited by 18 publications

References 30 publications

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

Transitioning Patients With Diabetes Out Of Emergency Departments: A Path Towards Better Outcomes And Lower Costs?

Quality improvement strategies for diabetes care: Effects on outcomes for adults living with diabetes

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