Diabetes Health Information Technology Innovation to Improve Quality of Life for Health Plan Members in Urban Safety Net

Details

• Alternative Title:
  J Ambul Care Manage
• Personal Author:
  Ratanawongsa, Neda ; Handley, Margaret A. ; Sarkar, Urmimala ; Quan, Judy ; Pfeifer, Kelly ; Soria, Catalina ; Schillinger, Dean
• Description:
  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.
• Subjects:
  California Diabetes Mellitus Ethnicity Humans Managed Care Programs Medical Informatics Poverty Quality Of Life Safety-net Providers Self Care Telephone Urban Population

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• Keywords:
  Chronic Disease Diabetes Healthcare Disparities Health Information Technology Health Literacy Limited English Proficiency Practice-based Research Network Self Care
• Source:
  J Ambul Care Manage. 37(2):127-137
• Pubmed ID:
  24594561
• Pubmed Central ID:
  PMC3990277
• Document Type:
  Journal Article
• Funding:
  U58 DP002007/DP/NCCDPHP CDC HHSUnited States/ ; 1P30-DK092924/DK/NIDDK NIH HHSUnited States/ ; UL1 RR024131/RR/NCRR NIH HHSUnited States/ ; R18 HS017261/HS/AHRQ HHSUnited States/ ; P60MD006902/MD/NIMHD NIH HHSUnited States/ ; P30 DK092924/DK/NIDDK NIH HHSUnited States/ ; R18HS017261/HS/AHRQ HHSUnited States/ ; P60 MD006902/MD/NIMHD NIH HHSUnited States/ ; UL1 TR000004/TR/NCATS NIH HHSUnited States/ ; 5U58DP002007-03/DP/NCCDPHP CDC HHSUnited States/ ; R03 HS020684/HS/AHRQ HHSUnited States/ ; 1R03HS020684-01/HS/AHRQ HHSUnited States/
• Volume:
  37
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:59e207ddc557e080397075ca6e3457433117fceedc3c0aca4e4a12dc4978c651
• Download URL:
  https://stacks.cdc.gov/view/cdc/29930/cdc_29930_DS1.pdf
• File Type:
  [PDF - 280.82 KB ]