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Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention.
Patient Educ Couns. 2005 Jan; 56(1):28-34.PE

Abstract

This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. Patient demographics and clinical characteristics of their diabetes were assessed with questionnaires, active involvement was assessed via ratings of taped interactions between patients and providers, and serum samples were analyzed for HbA1c. Patients in the activation condition were rated as more actively involved in discussions of diabetes self-management, and rated active involvement was predictive of improvement in glycemic control. No effect of the activation intervention was found on HbA1c. Thus, the activation intervention increased the active involvement of patients with type 2 diabetes in visits with practitioners, and active involvement led to improved glycemic control. However, the activation intervention did not improve glycemic control directly.

Authors+Show Affiliations

Department of Clinical & Social Sciences in Psychology, University of Rochester, P.O. Box 270266, Rochester, NY 14627-0266, USA. geoffrey_williams@urmc.rochester.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15590220

Citation

Williams, Geoffrey C., et al. "Promoting Glycemic Control Through Diabetes Self-management: Evaluating a Patient Activation Intervention." Patient Education and Counseling, vol. 56, no. 1, 2005, pp. 28-34.
Williams GC, McGregor H, Zeldman A, et al. Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention. Patient Educ Couns. 2005;56(1):28-34.
Williams, G. C., McGregor, H., Zeldman, A., Freedman, Z. R., Deci, E. L., & Elder, D. (2005). Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention. Patient Education and Counseling, 56(1), 28-34.
Williams GC, et al. Promoting Glycemic Control Through Diabetes Self-management: Evaluating a Patient Activation Intervention. Patient Educ Couns. 2005;56(1):28-34. PubMed PMID: 15590220.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Promoting glycemic control through diabetes self-management: evaluating a patient activation intervention. AU - Williams,Geoffrey C, AU - McGregor,Holly, AU - Zeldman,Allan, AU - Freedman,Zachary R, AU - Deci,Edward L, AU - Elder,Daniel, PY - 2003/03/06/received PY - 2003/11/04/revised PY - 2003/11/24/accepted PY - 2004/12/14/pubmed PY - 2005/3/18/medline PY - 2004/12/14/entrez SP - 28 EP - 34 JF - Patient education and counseling JO - Patient Educ Couns VL - 56 IS - 1 N2 - This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. Patient demographics and clinical characteristics of their diabetes were assessed with questionnaires, active involvement was assessed via ratings of taped interactions between patients and providers, and serum samples were analyzed for HbA1c. Patients in the activation condition were rated as more actively involved in discussions of diabetes self-management, and rated active involvement was predictive of improvement in glycemic control. No effect of the activation intervention was found on HbA1c. Thus, the activation intervention increased the active involvement of patients with type 2 diabetes in visits with practitioners, and active involvement led to improved glycemic control. However, the activation intervention did not improve glycemic control directly. SN - 0738-3991 UR - https://www.unboundmedicine.com/medline/citation/15590220/Promoting_glycemic_control_through_diabetes_self_management:_evaluating_a_patient_activation_intervention_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738399103003264 DB - PRIME DP - Unbound Medicine ER -