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

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

Published Date:

Nov 2015

Publisher's site:

http://dx.doi.org/10.1097/JOM.0000000000000548 New Site Icon

Source:

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

Language:

English

[PDF-577.61 KB]

Details:

Personal Authors:

Adams, Sara R. ; Wiley, Deanne M. ; Fargeix, Andromache ; George, Victoria ; Neugebauer, Romain S. ; ... More ▼

Keywords:

[+]

Pubmed ID:

26539761

Pubmed Central ID:

PMC4636035

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.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

P30 DK092924/DK/NIDDK NIH HHS/United States
U58 DP002721/DP/NCCDPHP CDC HHS/United States
1P30-DK092924/DK/NIDDK NIH HHS/United States

Supporting Files:

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