Group visits improve metabolic control in type 2 diabetes - A 2-year follow-up

被引：194

作者：

Trento, M ^{[1
]}

Passera, P ^{[1
]}

Tomalino, M ^{[1
]}

Bajardi, M ^{[1
]}

Pomero, F ^{[1
]}

Allione, A ^{[1
]}

Vaccari, P ^{[1
]}

Molinatti, GM ^{[1
]}

Porta, M ^{[1
]}

机构：

[1] Univ Turin, Dept Internal Med, I-10126 Turin, Italy

来源：

DIABETES CARE | 2001年 / 24卷 / 06期

关键词：

D O I：

10.2337/diacare.24.6.995

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 of 112 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.

引用

页码：995 / 1000

页数：6

共 35 条

[1] Patient education and diabetes research: a failure! Going beyond the empirical approaches [J].