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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...

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Autores principales: 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.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2011
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.
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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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