A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial

Simple item page
dc.contributor.authorEstrada, Carlos A.
dc.contributor.authorSafford, Monika M.
dc.contributor.authorSalanitro, Amanda H.
dc.contributor.authorHouston, Thomas K.
dc.contributor.authorCurry, William
dc.contributor.authorWilliams, Jessica H.
dc.contributor.authorOvalle, Fernando
dc.contributor.authorKim, Yongin
dc.contributor.authorFoster, Pamela
dc.contributor.authorAllison, Jeroan J.
dc.contributor.otherUS Department of Veterans Affairs
dc.contributor.otherVeterans Health Administration (VHA)
dc.contributor.otherVeterans Affairs Medical Center - Birmingham
dc.contributor.otherUniversity of Alabama Birmingham
dc.contributor.otherVA Tennessee Valley Healthcare System
dc.contributor.otherGeriatric Research Education & Clinical Center
dc.contributor.otherVanderbilt University
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherUniversity of Massachusetts Worcester
dc.date.accessioned2023-09-28T19:05:36Z
dc.date.available2023-09-28T19:05:36Z
dc.date.issued2011
dc.description.abstractTo determine the effectiveness of a provider-based education and implementation intervention for improving diabetes control. Cluster-randomized trial with baseline and follow-up cross sections of diabetes patients in each participating physicians practice. Eleven US Southeastern states, 200608. Two hundred and five rural primary care physicians. Multi-component interactive intervention including Web-based continuing medical education, performance feedback and quality improvement tools. oAcceptable control' [hemoglobin A1c 9, blood pressure (BP) 140/90 mmHg, low-density lipoprotein cholesterol (LDL) 130 mg/dl] and ooptimal control' (A1c 7, BP 130/80 mmHg, LDL 100 mg/dl). Of 364 physicians attempting to register, 205 were randomized to the intervention (n 102) or control arms (n 103). Baseline and follow-up data were provided by 95 physicians (2127 patients). The proportion of patients with A1c 9 was similar at baseline and follow-up in both the control [adjusted odds ratio (AOR): 0.94; 95 confidence interval (CI): 0.61, 1.47] and intervention arms [AOR: 1.16 (95 CI: 0.80, 1.69)]; BP 140/90 mmHg and LDL 130 mg/dl were also similar at both measurement points (P 0.66, P 0.46; respectively). We observed no significant effect on diabetes control attributable to the intervention for any of the primary outcome measures. Intervention physicians engaged with the Website over a median of 64.7 weeks [interquartile range (IQR): 45.481.8) for a median total of 37 min (IQR: 1666). A wide-reach, low-intensity, Web-based interactive multi-component intervention did not improve control of glucose, BP or lipids for patients with diabetes of physicians practicing in the rural Southeastern US.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationEstrada, C. A., Safford, M. M., Salanitro, A. H., Houston, T. K., Curry, W., Williams, J. H., Ovalle, F., Kim, Y., Foster, P., & Allison, J. J. (2011). A web-based diabetes intervention for physician: a cluster-randomized effectiveness trial. In International Journal for Quality in Health Care (Vol. 23, Issue 6, pp. 682–689). Oxford University Press (OUP). https://doi.org/10.1093/intqhc/mzr053
dc.identifier.doi10.1093/intqhc/mzr053
dc.identifier.orcidhttps://orcid.org/0000-0002-6711-071X
dc.identifier.orcidhttps://orcid.org/0000-0003-4472-2112
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10843
dc.languageEnglish
dc.language.isoen_US
dc.publisherOxford University Press
dc.subjectinternet
dc.subjecttranslational research
dc.subjectdiabetes mellitus
dc.subjectrural health services
dc.subjecteducation
dc.subjectmedical
dc.subjectcontinuing process assessment (Health Care)
dc.subjectCONTINUING MEDICAL-EDUCATION
dc.subjectSELF-ASSESSMENT
dc.subjectCARE
dc.subjectIMPROVEMENT
dc.subjectBENEFICIARIES
dc.subjectQUALITY
dc.subjectIMPACT
dc.subjectSTATE
dc.subjectCME
dc.subjectHealth Care Sciences & Services
dc.subjectHealth Policy & Services
dc.titleA web-based diabetes intervention for physician: a cluster-randomized effectiveness trialen_US
dc.typeArticle
dc.typetext

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
10.1093intqhcmzr053.pdf
Size:
377.92 KB
Format:
Adobe Portable Document Format
Download

Collections

Research and Publications - Department of Health Science