Employer-Based Screening for Diabetes and Prediabetes in an Integrated Health Care Delivery System: A Natural Experiments for Translation in Diabetes (NEXT-D) Study

Adams, Sara R.; Wiley, Deanne M.; Fargeix, Andromache; George, Victoria; Neugebauer, Romain S.; Schmittdiel, Julie A.

doi:10.1097/JOM.0000000000000548

i

Employer-Based Screening for Diabetes and Prediabetes in an Integrated Health Care Delivery System: A Natural Experiments for Translation in Diabetes (NEXT-D) Study

Supporting Files

11 2015
By Adams, Sara R. ; Wiley, Deanne M. ; Fargeix, Andromache ; ...

File Language:

English

Details

Alternative Title:

J Occup Environ Med
Personal Author:

Adams, Sara R. ; Wiley, Deanne M. ; Fargeix, Andromache ; George, Victoria ; Neugebauer, Romain S. ; Schmittdiel, Julie A.
Description:

OBJECTIVE

To evaluate an employer-based diabetes/prediabetes screening intervention that invited at-risk employees via letters, secure emails, and automated voice messages to complete blood glucose testing at a health plan facility.

METHODS

Quasi-experimental cohort study among health plan members insured by two employers that received the intervention and three employers that were selected as control sites.

RESULTS

The proportion of at-risk members that completed a screening was higher in the intervention group than in the control group (36% vs. 13%, P < .001, adjusted for patient characteristics). Among those screened in the intervention group, the presence of obesity, hypertension, hyperlipidemia, and tobacco use were significant predictors of having a result which indicated diabetes or prediabetes (P < .05, all comparisons).

CONCLUSIONS

A low-intensity, employer-based intervention conducted in collaboration with a health care delivery system effectively increased screening for diabetes/prediabetes.
Keywords:

California Delivery Of Health Care, Integrated Diabetes Mellitus, Type 2 Female Humans Male Middle Aged Occupational Health Services Patient Acceptance Of Health Care Prediabetic State
Source:

J Occup Environ Med. 57(11):1147-1153
Pubmed ID:

26539761
Pubmed Central ID:

PMC4636035
Document Type:

Journal Article
Funding:

P30 DK092924/DK/NIDDK NIH HHSUnited States/ ; U58 DP002721/DP/NCCDPHP CDC HHSUnited States/ ; 1P30-DK092924/DK/NIDDK NIH HHSUnited States/
Volume:

57
Issue:

11
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:cefa6eb7b6ec094e36b99bca3dd83f77926a436e483230b7cd86119f9a9cc3e4
Download URL:

https://stacks.cdc.gov/view/cdc/35680/cdc_35680_DS1.pdf
File Type:

[PDF - 577.61 KB ]

File Language:

English

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