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https://www.readbyqxmd.com/read/28630653/outcomes-associated-with-pharmacist-led-diabetes-collaborative-drug-therapy-management-in-a-medicaid-population
#1
Eman Biltaji, Minkyoung Yoo, Brandon T Jennings, Jennifer P Leiser, Carrie McAdam-Marx
OBJECTIVES: Pharmacist-led diabetes collaborative drug therapy management (CDTM) has been shown to improve outcomes. Whether such programs are effective specifically in Medicaid patients, who face barriers to access and self-management, has not been well characterized. This pilot study explores glycemic control, utilization and costs associated with pharmacist-led CDTM in a small population of Medicaid patients with type 2 diabetes mellitus (T2DM). METHODS: A pre-post, historical cohort study was conducted of patients with T2DM and Medicaid coverage who received pharmacist-led CDTM in community-based primary clinics between 2008-2012...
March 2017: Journal of Pharmaceutical Health Services Research
https://www.readbyqxmd.com/read/28630037/a-mobile-app-for-the-self-management-of-type-1-diabetes-among-adolescents-a-randomized-controlled-trial
#2
Shivani Goyal, Caitlin A Nunn, Michael Rotondi, Amy B Couperthwaite, Sally Reiser, Angelo Simone, Debra K Katzman, Joseph A Cafazzo, Mark R Palmert
BACKGROUND: While optimal blood glucose control is known to reduce the long-term complications associated with type 1 diabetes mellitus, adolescents often struggle to achieve their blood glucose targets. However, their strong propensity toward technology presents a unique opportunity for the delivery of novel self-management interventions. To support type 1 diabetes self-management in this population, we developed the diabetes self-management app bant, which included wireless blood glucose reading transfer, out-of-range blood glucose trend alerts, coaching around out-of-range trend causes and fixes, and a point-based incentive system...
June 19, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28606493/patient-provider-relationship-as-mediator-between-adult-attachment-and-self-management-in-primary-care-patients-with-multiple-chronic-conditions
#3
Katja Brenk-Franz, Bernhard Strauß, Fabian Tiesler, Christian Fleischhauer, Nico Schneider, Jochen Gensichen
OBJECTIVE: The conceptual model of attachment theory has been applied to understand the predispositions of patients in medical care and the patient-provider relationship. In patients with chronic conditions insecure attachment was connected to poorer self-management. The patient-provider relationship is associated with a range of health related outcomes and self-management skills. We determined whether the quality of the patient-provider relationship mediates the link between adult attachment and self-management among primary care patients with multiple chronic diseases...
June 2017: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/28602020/techniques-of-monitoring-blood-glucose-during-pregnancy-for-women-with-pre-existing-diabetes
#4
REVIEW
Foong Ming Moy, Amita Ray, Brian S Buckley, Helen M West
BACKGROUND: Self-monitoring of blood glucose (SMBG) is recommended as a key component of the management plan for diabetes therapy during pregnancy. No existing systematic reviews consider the benefits/effectiveness of various techniques of blood glucose monitoring on maternal and infant outcomes among pregnant women with pre-existing diabetes. The effectiveness of the various monitoring techniques is unclear. OBJECTIVES: To compare techniques of blood glucose monitoring and their impact on maternal and infant outcomes among pregnant women with pre-existing diabetes...
June 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28599868/a-latent-profile-analysis-on-patient-empowerment-programme-in-a-hong-kong-primary-care-setting
#5
Mike K T Cheung, Sam C C Chan, Anchor T F Hung, Angela Y M Leung, Albert Lee, Frank W K Chan, K L Chung, Peter K K Poon, Chetwyn C H Chan
OBJECTIVE: This study identified the profiles of subgroups of type 2 diabetic (T2DM) patients of the Patient Empowerment Programme (PEP) by different levels of benefits gained in diabetic self-management behaviors, self-efficacy, and health literacy. METHODS: This study adopted a non-experimental repeated-measures design on T2DM patients who joined PEP, using structured questionnaires. Latent profile analysis (LPA) was used to identify patterns of participants' change on the outcome measures...
May 24, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28595504/differential-relationships-between-diabetes-knowledge-scales-and-diabetes-outcomes
#6
Aprill Z Dawson, Rebekah J Walker, Leonard E Egede
Background Diabetes affects more than 29 million people in the US and requires daily self-management in addition to knowledge of the disease. Three knowledge assessments used are the Michigan Brief Diabetes Knowledge Test (DKT), Starr County Diabetes Knowledge Questionnaire (DKQ), and Kaiser DISTANCE Survey (DISTANCE). Purpose The purpose of the study was to test the discriminate validity of 3 diabetes knowledge scales and determine which is best associated with diabetes self-care and glycemic control. Methods Three hundred sixty-one adults with type 2 diabetes were recruited from primary care clinics...
June 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28592205/pilot-feasibility-study-of-a-digital-storytelling-intervention-for-immigrant-and-refugee-adults-with-diabetes
#7
Mark L Wieland, Jane W Njeru, Marcelo M Hanza, Deborah H Boehm, Davinder Singh, Barbara P Yawn, Christi A Patten, Matthew M Clark, Jennifer A Weis, Ahmed Osman, Miriam Goodson, Maria D Porraz Capetillo, Abdullah Hared, Rachel Hasley, Laura Guzman-Corrales, Rachel Sandler, Valentina Hernandez, Paul J Novotny, Jeff A Sloan, Irene G Sia
Purpose The purpose of this pilot feasibility project was to examine the potential effectiveness of a digital storytelling intervention designed through a community-based participatory research (CBPR) approach for immigrants and refugees with type 2 diabetes mellitus (T2DM). Methods The intervention was a 12-minute culturally and linguistically tailored video consisting of an introduction, 4 stories, and a concluding educational message. A structured interview was used to assess the intervention for acceptability, interest level, and usefulness among 25 participants with T2DM (15 Latino, 10 Somali) across 5 primary care clinical sites...
June 1, 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28585892/blood-glucose-monitoring-in-type-2-diabetes-nepalese-patients-opinions-and-experiences
#8
Sujata Sapkota, Jo-Anne E Brien, Parisa Aslani
BACKGROUND: Blood glucose monitoring forms a vital component of diabetes care. Monitoring conducted at home using glucometers, and in laboratories by professionals, are two common methods of blood glucose monitoring in clinical practice. OBJECTIVE: To investigate Nepalese patients' perceptions and practices of blood glucose monitoring in diabetes. METHODS: In-depth interviews were conducted with 48 Nepalese participants with type 2 diabetes in Sydney and Kathmandu...
2017: Global Health Action
https://www.readbyqxmd.com/read/28583913/patient-level-cost-of-diabetes-self-management-education-programmes-an-international-evaluation
#9
Gerardine Doyle, Shane O'Donnell, Etáin Quigley, Kate Cullen, Sarah Gibney, Diane Levin-Zamir, Kristin Ganahl, Gabriele Müller, Ingrid Muller, Helle Terkildsen Maindal, Wushou Peter Chang, Stephan Van Den Broucke
OBJECTIVES: The objective of this study was to examine the value of time-driven activity-based costing (TDABC) in understanding the process and costs of delivering diabetes self-management education (DSME) programmes in a multicountry comparative study. SETTING: Outpatient settings in five European countries (Austria, Denmark, Germany, Ireland, UK) and two countries outside Europe, Taiwan and Israel. PARTICIPANTS: Providers of DSME programmes across participating countries (N=16) including healthcare professionals, administrators and patients taking part in DSME programmes...
June 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28574154/what-role-could-community-pharmacists-in-malaysia-play-in-diabetes-self-management-education-and-support-the-views-of-individuals-with-type-2-diabetes
#10
E Lyn Lee, Pei Se Wong, Ming Yeong Tan, Janie Sheridan
OBJECTIVES: This study explored the experiences and views of individuals with type 2 diabetes mellitus (T2D) on their diabetes self-management and potential roles for community pharmacists in diabetes self-management education and support (DSME/S) in Malaysia. METHODS: A qualitative study, using semi-structured, face-to-face interviews, was conducted with patients with T2D attending a primary care health clinic in Kuala Lumpur, Malaysia. The interviews were audio-recorded, transcribed verbatim and analysed inductively...
June 2, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28567300/quality-of-primary-health-care-and-autonomous-motivation-for-effective-diabetes-self-management-among-patients-with-type-2-diabetes
#11
Anne M Koponen, Nina Simonsen, Sakari Suominen
This study showed, in line with self-determination theory, that of the six central quality dimensions of primary health care (access to care, continuity of care, diabetes counseling, autonomy support from one's physician, trust, patient-centered care), autonomy support from one's physician was most strongly associated with autonomous motivation (self-regulation) for effective diabetes self-management among patients with type 2 diabetes (n = 2866). However, overall support for diabetes care received from friends, family members, other patients with diabetes, and health care professionals may even play a greater role...
January 2017: Health Psychology Open
https://www.readbyqxmd.com/read/28555339/role-of-mobile-technology-to-improve-diabetes-care-in-adults-with-type-1-diabetes-the-remote-t1d-study-ibgstar-%C3%A2-in-type-1-diabetes-management
#12
Satish K Garg, Viral N Shah, Halis K Akturk, Christie Beatson, Janet K Snell-Bergeon
INTRODUCTION: The role of mobile technology in patient-reported outcomes (PRO) and glycemic control in adults with type 1 diabetes (T1D) needs further evaluation. METHODS: The single-center, prospective, 6-month, open-label, investigator-initiated study randomized 100 subjects with T1D in a 1:1 fashion to a control group using self-monitoring of blood glucose (SMBG) with Accu-Chek Nano(®) and an intervention group using SMBG with iPhone plus glucose meter (iBGStar(®))...
May 29, 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28554881/incorporation-of-a-stress-reducing-mobile-app-in-the-care-of-patients-with-type-2-diabetes-a-prospective-study
#13
Maya Munster-Segev, Oren Fuerst, Steven A Kaplan, Avivit Cahn
BACKGROUND: Severe and sustained emotional stress creates a physiological burden through increased sympathetic activity and higher energy demand. This may lead to increased oxidative stress and development of the metabolic syndrome. Emotional stress has been shown to contribute to the onset, progression, and control of type 2 diabetes (T2D). Stress management and biofeedback assisted relaxation have been shown to improve glycemic control. Use of a mobile app for stress management may enhance the scalability of such an approach...
May 29, 2017: JMIR MHealth and UHealth
https://www.readbyqxmd.com/read/28549471/the-shared-health-appointments-and-reciprocal-enhanced-support-shares-study-study-protocol-for-a-randomized-trial
#14
Michele Heisler, Jennifer Burgess, Jeffrey Cass, John F Chardos, Alexander B Guirguis, Sean M Jeffery, Lorrie A Strohecker, Adam S Tremblay, Wen-Chih Wu, Donna M Zulman
BACKGROUND: Diabetes shared medical appointments (SMAs) and reciprocal peer support programs have been found in efficacy trials to help adults with diabetes improve their self-management and achieve short-term gains in clinical and patient-centered outcomes. In order to translate this evidence to system-level interventions, there is a need for large-scale, pragmatic trials that examine the effectiveness, implementation, and costs of SMAs and reciprocal peer support across diverse settings...
May 26, 2017: Trials
https://www.readbyqxmd.com/read/28532204/management-of-allergic-rhinitis-in-the-era-of-effective-over-the-counter-treatments
#15
Warner W Carr, Barbara P Yawn
Allergic rhinitis (AR) may be regarded as a trivial issue unworthy of the doctor's time, and with the availability of many different over-the-counter (OTC) treatments, up to two thirds of patients self-manage AR before seeking medical care. Yet, AR can have a significant impact on health-related quality of life and is associated with a greater detriment to work productivity than other chronic diseases such as diabetes and hypertension. For many patients, the impact on quality of life is greater than suggested by reported symptoms and should also be a focus of treatment...
June 9, 2017: Postgraduate Medicine
https://www.readbyqxmd.com/read/28525440/prevention-and-management-of-hypertension-and-diabetes-using-social-capital-and-physical-activity-among-socioeconomically-disadvantaged-populations
#16
Akiko Kamimura, Jennifer Tabler, Maziar M Nourian, Nushean Assasnik, Lindsey Wright, Jeanie Ashby
The purpose of this study is to examine the association between physical activity adherence and social capital among uninsured primary care patients with or without hypertension and/or diabetes. Uninsured adults using a free clinic (N = 374) participated in a self-administered survey from January to April in 2016. The percentage of participants who were adherent to physical activity was low regardless of having hypertension and/or diabetes, or not. Individuals who reported a high sense of community were associated with a higher percentage of physical activity adherence...
July 2017: Family & Community Health
https://www.readbyqxmd.com/read/28508013/self-reported-diagnosis-of-type-1-and-type-2-diabetes-and-lifestyle-change-among-uninsured-primary-care-patients
#17
Shannon Weaver, Jeanie Ashby, Akiko Kamimura
INTRODUCTION: The purpose of this study is to examine self-reported diagnosis of type 1 and type 2 diabetes and lifestyle change among uninsured primary care patients utilizing a free clinic. METHODS: Free clinic patients participated in a self-administered survey in May and June 2016. Patients with the following self-reported diagnoses were analyzed: type 2 diabetes only (n = 84), and type 1 diabetes only or both (n = 43). RESULTS: Participants who reported having type 2 diabetes only and/or were patients of the diabetes clinic were less likely to have modified diet and/or physical activity to manage diabetes compared to those with type 1 diabetes and/or those who were not patients of the diabetes clinic...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28507010/a-systematic-review-of-application-and-effectiveness-of-mhealth-interventions-for-obesity-and-diabetes-treatment-and-self-management
#18
REVIEW
Youfa Wang, Hong Xue, Yaqi Huang, Lili Huang, Dongsong Zhang
The use of mobile and wireless technologies and wearable devices for improving health care processes and outcomes (mHealth) is promising for health promotion among patients with chronic diseases such as obesity and diabetes. This study comprehensively examined published mHealth intervention studies for obesity and diabetes treatment and management to assess their effectiveness and provide recommendations for future research. We systematically searched PubMed for mHealth-related studies on diabetes and obesity treatment and management published during 2000-2016...
May 2017: Advances in Nutrition
https://www.readbyqxmd.com/read/28456108/psychometric-evaluation-of-the-short-version-of-the-personal-diabetes-questionnaire-to-assess-dietary-behaviors-and-exercise-in-patients-with-type-2-diabetes
#19
Sylvie A Akohoue, Kenneth A Wallston, David G Schlundt, Russell L Rothman
BACKGROUND: Patients with diabetes and of lower socioeconomic status have difficulty adhering to dietary recommendations. Practical and effective tools assessing self-management behaviors are needed to help evaluate interventions tailored to the needs of individual patients or population groups. This study examined the psychometric properties of a short 11-item version of the Personal Diabetes Questionnaire scale (PDQ-11) using data from the Public-Private Partnership to Improve Diabetes Education trial...
April 6, 2017: Eating Behaviors
https://www.readbyqxmd.com/read/28455179/nonelective-primary-total-hip-arthroplasty-the-effect-of-discharge-destination-on-postdischarge-outcomes
#20
Chirag K Shah, Aakash Keswani, Debbie Chi, Alex Sher, Karl M Koenig, Calin S Moucha
BACKGROUND: Medicare has enacted a mandatory bundled payment program for primary total joint arthroplasty that includes nonelective primary total hip arthroplasty (THA). Efficient postacute care management has been identified as an opportunity to improve value for patients. We aimed to identify risk factors for and compare rates of complications by discharge destination and then use those factors to risk-stratify non-elective THA patients. METHODS: Patients who underwent nonelective primary THA from 2011 to 2014 were identified in the American College of Surgeons National Surgical Quality Improvement Program database and categorized into those discharged to skilled nursing facility or inpatient rehabilitation facility vs home self-managed/home health (HHH)...
March 30, 2017: Journal of Arthroplasty
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