Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile
Background: Telephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. A...
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Sociedad Médica de Santiago
2010
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oai:scielo:S0034-988720100006000102010-08-31Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, ChileLANGE,ILTACAMPOS,SOLANGEURRUTIA,MILABUSTAMANTE,CLAUDIAALCAYAGA,CLAUDIATELLEZ,ÁLVAROPÉREZ,J. CAROLAVILLARROEL,LUISCHAMORRO,GASTÓNOCONNOR,ANNETTEPIETTE,JOHN Diabetes mellitus, type 2 Primary health care Self care Telenursing Background: Telephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the Summary of Diabetes Self-care Activities Measure and the Spanish Diabetes Self-efficacy scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.138 n.6 20102010-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000600010es10.4067/S0034-98872010000600010 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Diabetes mellitus, type 2 Primary health care Self care Telenursing |
| spellingShingle |
Diabetes mellitus, type 2 Primary health care Self care Telenursing LANGE,ILTA CAMPOS,SOLANGE URRUTIA,MILA BUSTAMANTE,CLAUDIA ALCAYAGA,CLAUDIA TELLEZ,ÁLVARO PÉREZ,J. CAROLA VILLARROEL,LUIS CHAMORRO,GASTÓN OCONNOR,ANNETTE PIETTE,JOHN Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| description |
Background: Telephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the Summary of Diabetes Self-care Activities Measure and the Spanish Diabetes Self-efficacy scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services. |
| author |
LANGE,ILTA CAMPOS,SOLANGE URRUTIA,MILA BUSTAMANTE,CLAUDIA ALCAYAGA,CLAUDIA TELLEZ,ÁLVARO PÉREZ,J. CAROLA VILLARROEL,LUIS CHAMORRO,GASTÓN OCONNOR,ANNETTE PIETTE,JOHN |
| author_facet |
LANGE,ILTA CAMPOS,SOLANGE URRUTIA,MILA BUSTAMANTE,CLAUDIA ALCAYAGA,CLAUDIA TELLEZ,ÁLVARO PÉREZ,J. CAROLA VILLARROEL,LUIS CHAMORRO,GASTÓN OCONNOR,ANNETTE PIETTE,JOHN |
| author_sort |
LANGE,ILTA |
| title |
Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| title_short |
Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| title_full |
Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| title_fullStr |
Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| title_full_unstemmed |
Efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la Diabetes tipo 2, en un Centro de Atención Primaria, Santiago, Chile |
| title_sort |
efecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la diabetes tipo 2, en un centro de atención primaria, santiago, chile |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2010 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872010000600010 |
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