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Titolo:
Group visits improve metabolic control in type 2 diabetes - A 2-year follow-up
Autore:
Trento, M; Passera, P; Tomalino, M; Bajardi, M; Pomero, F; Allione, A; Vaccari, P; Molinatti, GM; Porta, M;
Indirizzi:
Univ Turin, Dept Internal Med, I-10126 Turin, Italy Univ Turin Turin Italy I-10126 , Dept Internal Med, I-10126 Turin, Italy
Titolo Testata:
DIABETES CARE
fascicolo: 6, volume: 24, anno: 2001,
pagine: 995 - 1000
SICI:
0149-5992(200106)24:6<995:GVIMCI>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-MANAGEMENT EDUCATION; PATIENT EDUCATION; CONTROLLED TRIAL; MELLITUS; CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Porta, M Univ Turin, Dept Internal Med, Corso AM Dogliotti 14, I-10126 Turin, Italy Univ Turin Corso AM Dogliotti 14 Turin Italy I-10126 urin, Italy
Citazione:
M. Trento et al., "Group visits improve metabolic control in type 2 diabetes - A 2-year follow-up", DIABET CARE, 24(6), 2001, pp. 995-1000

Abstract

OBJECTIVE - To evaluate whether group visits, delivered as routine diabetes care and structured according to a systemic education approach, are more effective than individual consultations in improving metabolic control in non-insulin treated. type 2 diabetes. RESEARCH DESIGN AND METHODS - In a randomized controlled clinical trial of112 patients, 56 patients were allocated to groups of 9 or 10 individuals who participated in group consultations, and 56 patients (considered control subjects) underwent individual visits plus support education. All visits were scheduled every 3 months. RESULTS - After 2 years, HbA(1c) levels were lower in patients seen in groups than in control subjects (P < 0.002). Levels of HDL cholesterol had increased in patients seen in groups but had not increased in control subjects(P = 0.045). BMI (P = 0.06) and fasting triglyceride level (P = 0.053) were lower. Patients participating in group visits had improved knowledge of diabetes (P < 0.001) and quality of life (P < 0.001) and experienced more appropriate health behaviors (P < 0.001). Physicians spent less time seeing 9-10 patients as a group rather than individually, but patients had longer interaction with health care providers. CONCLUSIONS - Group consultations may improve metabolic control in the medium term by inducing more appropriate health behaviors. They are feasible in everyday clinical practice without increasing working hours.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 18/09/20 alle ore 11:03:25