Telephone follow‐up to improve glycaemic control in patients with Type 2 diabetes: systematic review and meta‐analysis of controlled trials

Wu, Lihua; Forbes, Angus; Griffiths, Peter; Milligan, Peter; While, Alison

doi:10.1111/j.1464-5491.2010.03113.x

Cited by 64 publications

(79 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings for HbA 1c level were at the lower end of what might be expected based on the review by Wu et al (15), which reported a standardized weighted mean difference of 20.44 (95% CI 20.93 to 0.06) (i.e., an effect that is estimated as moderate but could plausibly be anywhere between no effect and a large beneficial effect). The review also showed that the interventions were not consistent in their impact on HbA 1c level (i.e., significant heterogeneity).…”

Section: Discussionmentioning

confidence: 60%

“…Since the onset of this 5-year LWWD trial, a number of studies of telephonedelivered interventions to improve glycemic control in patients with type 2 diabetes have been published and are summarized in a meta-analysis (15). Our findings for HbA 1c level were at the lower end of what might be expected based on the review by Wu et al (15), which reported a standardized weighted mean difference of 20.44 (95% CI 20.93 to 0.06) (i.e., an effect that is estimated as moderate but could plausibly be anywhere between no effect and a large beneficial effect).…”

Section: Discussionmentioning

confidence: 99%

“…Telephone-delivered interventions are increasingly being investigated as they have the potential for broad population reach, and for delivering the repeated contacts necessary to promote maintenance of behavior change and related clinical improvements (12)(13)(14)(15).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

et al. 2014

View full text Add to dashboard Cite

OBJECTIVETo evaluate the effectiveness of a telephone-delivered behavioral weight loss and physical activity intervention targeting Australian primary care patients with type 2 diabetes. RESEARCH DESIGN AND METHODSPragmatic randomized controlled trial of telephone counseling (n = 151) versus usual care (n = 151). Reported here are 18-month (end-of-intervention) and 24-month (maintenance) primary outcomes of weight, moderate-to-vigorous-intensity physical activity (MVPA; via accelerometer), and HbA 1c level. Secondary outcomes include dietary energy intake and diet quality, waist circumference, lipid levels, and blood pressure. Data were analyzed via adjusted linear mixed models with multiple imputation of missing data. RESULTSRelative to usual-care participants, telephone counseling participants achieved modest, but significant, improvements in weight loss (relative rate [RR] 02]), or other cardio-metabolic markers. None of the outcomes showed a significant change/deterioration over the maintenance period. However, only the intervention effect for MVPA remained statistically significant at 24 months. CONCLUSIONSThe modest improvements in weight loss and behavior change, but the lack of changes in cardio-metabolic markers, may limit the utility, scalability, and sustainability of such an approach.

show abstract

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

et al. 2014

View full text Add to dashboard Cite

show abstract

“…However, the retrospective audit, to some degree, identified the rest of the frequent users as a group of physically and/or psychologically fragile patients, whose needs were not covered by ATC. This finding indicates that this specifically vulnerable group require more advanced and tailored interventions delivered by professionals who in addition to their diabetes qualifications are specialised in the care of vulnerable people, as also recommended in other studies [25,26]. The qualitative observations in this study provided an overview that was not available before and pinpointed the diversity of advice and recommendations given by the DSNs.…”

Section: Discussionmentioning

confidence: 61%

Out-of-office hours nurse-driven acute telephone counselling service in a large diabetes outpatient clinic: A mixed methods evaluation

Due‐Christensen

Kaldan

Almdal

et al. 2015

Patient Education and Counseling

View full text Add to dashboard Cite

“…Forbes, Griffiths, Milligan, and While (2010) [17] study focused on telephone follow-up to improve glycemic control in patients with type 2 diabetes. The analysis of the study suggested that telephone follow-up interventions following a more intensive targeted approach could have a positive impact on the glycemic control for type 2 diabetes.…”

Section: Telephone Follow-up Callsmentioning

confidence: 99%

Decreasing Glycosylated Hemoglobin with Nutrition, Exercise and Bi-Monthly Telephone Calls in Patients withType 2 Diabetes Mellitus

Hickson

Farrell²,

Orr³

et al. 2014

OALib

View full text Add to dashboard Cite

Background: Decreasing glycosylated hemoglobin (HbgA1c) is a primary diabetes treatment goal. Despite the simplicity of the HbgA1c goal, failure to achieve this goal is a major healthcare concern. Healthcare providers fail to adequately educate patients on how to implement behavioral modifications needed for successful goal achievement. Narrowed focused patient encounters, reliance on patient self-education, denial, and delayed follow-up appointments limit a patient's ability to implement required behavioral changes. Aim: This study was a quality improvement intervention designed to determine whether a personalized nutrition and exercise plan in conjunction with bimonthly telephone reinforcement calls improved the HbgA1c of patients with type 2 diabetes mellitus. Setting: The study was conducted at a community clinic located in the southeastern U.S. that provides care predominantly to the working poor and uninsured patients. Sample: Type 2 diabetic patients (n = 40) with a baseline HbgA1c > 7%. Intervention: A nurse practitioner; certified diabetic educator and an exercise physiologist developed an individualized action plan with each participant. Baseline HbgA1c values were documented and participants were scheduled for three education sessions as well as telephone calls twice monthly for three months followed by a repeat HbgA1c. Results: Pretest and posttest HbgA1c data were analyzed using the Wilcoxon T-test statistic to determine if a personalized nutrition and exercise action plan in addition to bi-monthly telephone calls to the participants contributed to a decrease in the HbgA1c. Level of significance was set at an alpha value of less 0.05. The observed value of the test statistics t = 2.2714, with df = 62, p-value = 0.01292 rejects the null hypothesis. The p-value (0.012) demonstrated a significant improvement. Conclusion: Individualized attention and frequent reinforcement facilitated patients' need to develop and integrate self-management behaviors, thereby, reducing the HbgA1c level and helping them to reach the desired goal.

show abstract

Telephone follow‐up to improve glycaemic control in patients with Type 2 diabetes: systematic review and meta‐analysis of controlled trials

Abstract: The analysis suggested that telephone follow-up interventions following a more intensive targeted approach could have a positive impact on glycaemic control for Type 2 diabetes.

Cited by 64 publications

References 33 publications

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

Living Well With Diabetes: 24-Month Outcomes From a Randomized Trial of Telephone-Delivered Weight Loss and Physical Activity Intervention to Improve Glycemic Control

Out-of-office hours nurse-driven acute telephone counselling service in a large diabetes outpatient clinic: A mixed methods evaluation

Decreasing Glycosylated Hemoglobin with Nutrition, Exercise and Bi-Monthly Telephone Calls in Patients withType 2 Diabetes Mellitus

Contact Info

Product

Resources

About