Shadi Chamany|Elizabeth A. Walker|Clyde B. Schechter|Jeffrey S. Gonzalez|Nichola Davis|Felix Mauricio Escalante Ortega|Jeidy Carrasco|Charles E. Basch|Lynn Silver
Telephone Intervention to Improve Diabetes Control
New York City Department of Health and Mental Hygiene|Albert Einstein College of Medicine|Albert Einstein College of Medicine|Albert Einstein College of Medicine|Yeshiva University|Albert Einstein College of Medicine|New York City Department of Health and Mental Hygiene|Montefiore Medical Center|Columbia University|Public Health Institute
scalable selfmanagement interventions necessary address suboptimal diabetes control especially among minority populations study tested effectiveness telephone behavioral intervention improving glycemic control among adults diabetes new york city a1c registryrct comparing telephone intervention printonly intervention context a1c registry programnine hundred fortyone adults diabetes hemoglobin a1c a1c 7 lowincome predominantly latino population south bronx recruited a1c registryall study participants mailed print diabetes selfmanagement materials baseline modest lifestyle incentives quarterly telephone participants received four calls health educators evenly spaced 1 year baseline a1c 79 eight calls baseline a1c 9 medication adherence main behavioral focus secondarily nutrition exerciseprimary outcome difference two study arms change a1c baseline 1 year secondary outcomes included diabetes selfcare activities including selfreported medication adherence data collected 20082012 analyzed 20122014participants predominantly latino 677 nonlatino black 28 697 foreignborn 551 spanishspeaking among 694 74 participants followup a1c mean a1c decreased 09 sd01 among telephone group compared 05 sd01 among printonly group difference 04 95 ci009 074 p001 intervention significant effect baseline a1c 9 groups experienced similar improvements selfcare activities medication adherence intensificationa telephone intervention delivered health educators clinically effective tool improve diabetes control diverse populations specifically worse metabolic control identified using registry public health approach could adopted health systems supported electronic record capabilities clinicaltrialsnct00797888