Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net

Journal Name: 
J Ambul.Care Manage.
Authors: 
Ratanawongsa,N.
Handley,M.A.
Sarkar,U.
Quan,J.
Pfeifer,K.
Soria,C.
Schillinger,D.
Abstract: 
Safety net systems need innovative diabetes self-management programs for linguistically diverse patients. A low-income government-sponsored managed care plan implemented a 27-week automated telephone self-management support/health coaching intervention for English-, Spanish-, and Cantonese-speaking members from 4 publicly funded clinics in a practice-based research network. Compared to waitlist, immediate intervention participants had greater 6-month improvements in overall diabetes self-care behaviors (standardized effect size [ES] = 0.29, P < .01) and 12-Item Short Form Health Survey physical scores (ES = 0.25, P = .03); changes in patient-centered processes of care and cardiometabolic outcomes did not differ. Automated telephone self-management is a strategy for improving patient-reported self-management and may also improve some outcomes
4
2014
Volume: 
37
Pages: 
127-137
Keywords: 
Behavior, California, Diabetes, electronic, epidemiology, Health, health survey, hospital, information, Internal Medicine, intervention, Life, low-income, Medicine, patient, Patients, population, practice-based research, Preventive Medicine, Public Health, quality, Quality of Life, Research, Safety, San Francisco, Self Care, survey, system, Telephone, UCSF, Universities, Vulnerable Populations