Benjamin Powers|Maren K. Olsen|Eugene Ž. Oddone|Hayden B. Bosworth
The Effect of a Hypertension Self-Management Intervention on Diabetes and Cholesterol Control
Durham VA Medical Center|Duke University|Durham VA Medical Center|Duke University|Durham VA Medical Center|Duke University|Durham VA Medical Center|Duke University
patient chronic disease selfmanagement interventions target singledisease outcomes evaluated effect tailored hypertension selfmanagement intervention unintended targets glycosylated hemoglobin hba1c lowdensity lipoprotein cholesterol ldlcwe evaluated patients veterans study improve control hypertension 2year randomized controlled trial patients received either hypertension selfmanagement intervention delivered nurse telephone usual care although study focused hypertension selfmanagement compared changes hba1c among subgroup 216 patients diabetes ldlc among 528 patients measurements study period changes laboratory values time compared 2 treatment groups using linear mixedeffects modelsfor patients diabetes hypertension selfmanagement intervention resulted 046 reduction hba1c 2 years compared usual care 95 confidence interval 004089 p 03 ldlc minimal 09 mgdl betweengroup difference statistically significant 95 confidence interval 7356 mgdl p 79there significant effect selfmanagement intervention unintended target hba1c ldlc chronic disease selfmanagement interventions might spillover effects patients comorbid chronic conditions