Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia

Crawford, Paul; Wiltz, Scott A.

doi:10.3122/jabfm.2015.06.140142

Cited by 17 publications

(13 citation statements)

References 17 publications

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“…In long term, this method can reduce the diabetes complications, reduce disability rate and mortality, and reduce the consumption of social medical resources. [ 32 ] In this study, we analyzed the heterogeneity of the studies using subgroup analysis of country, the patients’ age and intervention time for the following reasons. First, the patient's age can have implications on their cognitive ability and compliance; generally, older patients have lower cognitive ability and poor compliance.…”

Section: Discussionmentioning

confidence: 99%

Impact of the conversation map tools in patients with type 2 diabetes mellitus

Yang¹,

Fang

2016

Medicine

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Background:Diabetes is one of the leading causes of morbidity and mortality worldwide, and type 2 diabetes is the most common type accounting for 90% of all diabetes cases. Health education is considered as the first choice to control blood glucose levels. We conducted a meta-analysis to assess the effect of health education tool “Conversation Map” in diabetes patients to control blood glucose.Methods:We searched PubMed, Embase, Cochrane Central Register of Controlled Trials, China Knowledge Resource Integrated Database, and China Science Periodical Database up to December, 2015. We assessed the results using the inverse variance method to pool diabetes relative indicators, and assessed the heterogeneity of the results using I-square.Results:We collected 22 trials in our meta-analysis, which included 3360 patients. The results showed that the fasting blood-glucose level was significantly reduced in the type 2 diabetes group patients educated with “Conversation Map” when compared to their respective control groups (weighted mean difference [WMD]: −2.23, 95% confidence interval [CI]: −2.70 to −1.76, P < 0.001). Also a significant reduction of 2-hour postprandial blood glucose (WMD: −1.59, 95% CI: −2.27 to −0.92, P < 0.001) and Hemoglobin A1C levels (WMD: −0.63, 95% CI: −1.08 to −0.17, P < 0.001) was also observed when compared to the control groups.Conclusion:Conversation Map is an effective health education tool for type 2 diabetes, and significantly reduced patients’ blood glucose related index.

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Section: Discussionmentioning

confidence: 99%

Impact of the conversation map tools in patients with type 2 diabetes mellitus

Yang¹,

Fang

2016

Medicine

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“…In recent years, as an important risk factor in coronary heart disease and other atherosclerotic diseases, hypercholesterolemia has drawn growing attention of researchers . It has been reported that low‐density lipoprotein receptor (LDL‐R) plays an important role in homeostasis of plasma cholesterol .…”

Section: Introductionmentioning

confidence: 99%

Relationship between XspI Site Polymorphisms of LDL‐R Gene and Serum IL‐2 and IL‐10 in Patients with Hypercholesterolemia

Zhang

Liu

et al. 2016

Clinical Laboratory Analysis

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“…Make learning about lifestyle interventions fun! An impressive study by Crawford and Wiltz 11 reports the results of a board game-like diabetic educational strategy. Patients participating in this game-like educational program showed improvement in their HbA 1c , low-density lipoprotein, and blood pressure compared with a sex-and agematched comparison group.…”

Section: Specific Medical Topicsmentioning

confidence: 99%

New Tools and Approaches for Family Physicians

Seehusen

Bowman²,

Neale³

2015

The Journal of the American Board of Family Medicine

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This issue of the journal is filled with useful information for practicing family physicians. Several articles introduce new ideas for family physicians to use in the care of their patients, whereas other articles cover new approaches to old problems. Several studies report on procedures performed by family physicians: battlefield acupuncture, colonoscopy, and ultrasound. Some unique alternative care models are described and evaluated. An innovative method of delivering diabetes education seems to work well. Ways to use technology to improve patient care, an update on chronic hepatitis B, and a novel use of social media to understand a rare disease are also included. Readers will come away from this issue with many ideas to consider implementing in their own practices. Office ProceduresMany family physicians are interested in expanding the number of procedures they perform. Three articles address procedures that some family physicians are currently adding to their skill set. Battlefield acupuncture refers to a type of acupuncture named after its use by the military for acute injuries in the field. It is relatively easy to learn, puts the needles or tacks only in the outer ear, and has a very low rate of complications. In the article by Moss and Crawford, 1 family physicians were trained to use this type of acupuncture for acute sore throat. Great idea-and nice success, with a considerable decrease in pain and ibuprofen use; however, time away from work was not statistically significant. Having another tool to provide relief that is fast, easy, and potentially reimbursable is a nice outcome. Maybe it should be considered for other acute painful conditions in the office as well.The office use of ultrasound is quickly becoming commonplace, but it takes more training than some more common office procedures. The amount and type of training that leads to excellent accuracy by family physician operators is unclear. A small study by Bornemann et al 2 looks at the family physician training for and outcomes using a pocket-sized ultrasound as a screening tool for left ventricular hypertrophy. This study, and its results, give the reader a peek at the exciting future possibilities of this technology.Colonoscopy is increasingly used for colorectal cancer screening. Inadequate numbers of endoscopists to handle the growing need could be resolved by more family physicians being trained to perform colonoscopies. Several quality indicator outcomes, recommended by the American Society for Gastrointestinal Endoscopy, among 1155 colonoscopies completed by family physicians were reviewed by McClellan et al. 3 The results of several quality indicators recommended by the ASC were generally positive. Alternative Models of CareA topic of much current interest-at least certainly when estimated from the large number of participants attending the national conferences on the topic-direct primary care is increasing rapidly in the United States. The current forces that are changing family physicians' clinical workload, administrative burden, ...

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Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia

Cited by 17 publications

References 17 publications

Impact of the conversation map tools in patients with type 2 diabetes mellitus

Impact of the conversation map tools in patients with type 2 diabetes mellitus

Relationship between XspI Site Polymorphisms of LDL‐R Gene and Serum IL‐2 and IL‐10 in Patients with Hypercholesterolemia

New Tools and Approaches for Family Physicians

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