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Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial
OBJECTIVE: It is unknown whether computer-generated, patient-tailored feedback leads to improvements in glycemic control in people with type 2 diabetes. RESEARCH DESIGN AND METHODS: We recruited people with type 2 diabetes aged ≥40 years with a glycated hemoglobin (A1C) ≥7%, living in Hamilton, Cana...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Diabetes Association
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142042/ https://www.ncbi.nlm.nih.gov/pubmed/21680723 http://dx.doi.org/10.2337/dc11-0006 |
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author | Sherifali, Diana Greb, Janet L. Amirthavasar, Gaya Hunt, Dereck Haynes, R. Brian Harper, William Holbrook, Anne Capes, Sarah Goeree, Ron O’Reilly, Daria Pullenayegum, Eleanor Gerstein, Hertzel C. |
author_facet | Sherifali, Diana Greb, Janet L. Amirthavasar, Gaya Hunt, Dereck Haynes, R. Brian Harper, William Holbrook, Anne Capes, Sarah Goeree, Ron O’Reilly, Daria Pullenayegum, Eleanor Gerstein, Hertzel C. |
author_sort | Sherifali, Diana |
collection | PubMed |
description | OBJECTIVE: It is unknown whether computer-generated, patient-tailored feedback leads to improvements in glycemic control in people with type 2 diabetes. RESEARCH DESIGN AND METHODS: We recruited people with type 2 diabetes aged ≥40 years with a glycated hemoglobin (A1C) ≥7%, living in Hamilton, Canada, who were enrolled in a community-based program (Diabetes Hamilton) that provided regular evidence-based information and listings of community resources designed to facilitate diabetes self-management. After completing a questionnaire, participants were randomly allocated to either receive or not receive periodic computer-generated, evidence-based feedback on the basis of their questionnaire responses and designed to facilitate improved glycemic control and diabetes self-management. The primary outcome was a change in A1C after 1 year. RESULTS: A total of 465 participants (50% women, mean age 62 years, and mean A1C 7.83%) were randomly assigned, and 12-month A1C values were available in 96% of all participants, at which time the A1C level had decreased by an absolute amount of 0.24 and 0.15% in the intervention and control groups, respectively. The difference in A1C reduction for the intervention versus control group was 0.09% (95% CI −0.08 to 0.26; P = 0.3). No between-group differences in measures of quality of life, diabetes self-management behaviors, or clinical outcomes were observed. CONCLUSIONS: Providing computer-generated tailored feedback to registrants of a generic, community-based program that supports diabetes self-management does not lead to lower A1C levels or a better quality of life than participation in the community-based program (augmented by periodic A1C testing) alone. |
format | Online Article Text |
id | pubmed-3142042 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | American Diabetes Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-31420422012-08-01 Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial Sherifali, Diana Greb, Janet L. Amirthavasar, Gaya Hunt, Dereck Haynes, R. Brian Harper, William Holbrook, Anne Capes, Sarah Goeree, Ron O’Reilly, Daria Pullenayegum, Eleanor Gerstein, Hertzel C. Diabetes Care Original Research OBJECTIVE: It is unknown whether computer-generated, patient-tailored feedback leads to improvements in glycemic control in people with type 2 diabetes. RESEARCH DESIGN AND METHODS: We recruited people with type 2 diabetes aged ≥40 years with a glycated hemoglobin (A1C) ≥7%, living in Hamilton, Canada, who were enrolled in a community-based program (Diabetes Hamilton) that provided regular evidence-based information and listings of community resources designed to facilitate diabetes self-management. After completing a questionnaire, participants were randomly allocated to either receive or not receive periodic computer-generated, evidence-based feedback on the basis of their questionnaire responses and designed to facilitate improved glycemic control and diabetes self-management. The primary outcome was a change in A1C after 1 year. RESULTS: A total of 465 participants (50% women, mean age 62 years, and mean A1C 7.83%) were randomly assigned, and 12-month A1C values were available in 96% of all participants, at which time the A1C level had decreased by an absolute amount of 0.24 and 0.15% in the intervention and control groups, respectively. The difference in A1C reduction for the intervention versus control group was 0.09% (95% CI −0.08 to 0.26; P = 0.3). No between-group differences in measures of quality of life, diabetes self-management behaviors, or clinical outcomes were observed. CONCLUSIONS: Providing computer-generated tailored feedback to registrants of a generic, community-based program that supports diabetes self-management does not lead to lower A1C levels or a better quality of life than participation in the community-based program (augmented by periodic A1C testing) alone. American Diabetes Association 2011-08 2011-07-16 /pmc/articles/PMC3142042/ /pubmed/21680723 http://dx.doi.org/10.2337/dc11-0006 Text en © 2011 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details. |
spellingShingle | Original Research Sherifali, Diana Greb, Janet L. Amirthavasar, Gaya Hunt, Dereck Haynes, R. Brian Harper, William Holbrook, Anne Capes, Sarah Goeree, Ron O’Reilly, Daria Pullenayegum, Eleanor Gerstein, Hertzel C. Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title | Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title_full | Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title_fullStr | Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title_full_unstemmed | Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title_short | Effect of Computer-Generated Tailored Feedback on Glycemic Control in People With Diabetes in the Community: A randomized controlled trial |
title_sort | effect of computer-generated tailored feedback on glycemic control in people with diabetes in the community: a randomized controlled trial |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3142042/ https://www.ncbi.nlm.nih.gov/pubmed/21680723 http://dx.doi.org/10.2337/dc11-0006 |
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