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- Title
Change in metabolic control and functional status after hospitalization. Impact of patient activation intervention in diabetic patients.
- Authors
Rost, Kathryn M.; Flavin, Karen S.; Cole, Karen; McGill, Janet B.; Rost, K M; Flavin, K S; Cole, K; McGill, J B
- Abstract
<bold>Objective: </bold>To determine whether a short intervention to enhance patient information seeking and decision making during hospitalization results in improved metabolic control and functional status in patients with diabetes mellitus.<bold>Research Design and Methods: </bold>A randomized clinical trial was conducted in which control patients received a comprehensive 3-day evaluation and educational program, whereas experimental patients received a 45-min patient activation intervention and a 1-h self-administered booster in addition to the program. Metabolic control and functional status were measured at baseline and 4 mo postdischarge.<bold>Results: </bold>During their discharge discussions, experimental patients asked significantly more questions than control patients (7.4 vs. 3.0, P less than .001) and 4 mo later reported significantly fewer physical limitations in activities of daily living than the control group (P = 0.02). Improvement in metabolic control was statistically significant only for experimental patients (P = 0.02), although their glycosylated hemoglobin levels were not significantly lower than control patients' at follow-up. The intervention did not diminish physician satisfaction with patient interactions, although it may have increased physician frustration with responsibilities that competed with patient care.<bold>Conclusions: </bold>These results suggest that the addition of a patient activation intervention to a comprehensive diabetes management program may substantially enhance physical functioning among adults with diabetes mellitus.
- Subjects
TREATMENT of diabetes; CLINICAL trials; COMPARATIVE studies; HOSPITAL care; RESEARCH methodology; MEDICAL cooperation; PATIENT education; RESEARCH; RESEARCH funding; HEALTH self-care; PATIENT participation; ACTIVITIES of daily living; EVALUATION research; RANDOMIZED controlled trials
- Publication
Diabetes Care, 1991, Vol 14, Issue 10, p881
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/diacare.14.10.881