Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Study design and baseline characteristics in the Chronic Care Model for type 2 diabetes
Diabetes nurse case management and motivational interviewing for change (DYNAMIC): Study design and baseline characteristics in the Chronic Care Model for type 2 diabetes
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DOI：
10.1016/j.cct.2009.03.002
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发表时间：
2009-07-01
影响因子：
2.2
通讯作者：
Gabbay, Robert A.
中科院分区：
文献类型：
--
作者：
Stuckey, Heather L.;Dellasega, Cheryl;Gabbay, Robert A.
Background: Despite evidence that diabetes is costly and devastating, the health care system is poorly equipped to meet the challenges of chronic disease care. The Penn State Institute of Diabetes & Obesity is evaluating a model of managing type 2 DM which includes nurse case management (NCM) and motivational interviewing (MI) to foster behavior change. The primary care intervention is designed to improve patients' self care and to reduce clinical inertia through provider use of standardized clinical guidelines to achieve better diabetes outcomes.Methods: This RCT tests the efficacy of an enhanced NCM intervention on type 2 DM (n = 549) patient outcomes mediated by changes in self-care behavior and diabetes management. Outcome measures include: (a) effect on clinical parameters such as HbA1c (
