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Ratanawongsa, Neda MD, MPH; Handley, Margaret A. PhD, MPH; Sarkar, Urmimala MD, MPH; Quan, Judy PhD; Pfeifer, Kelly MD; Soria, Catalina BA; Schillinger, Dean MD
Safety net systems need innovative diabetes self-management programs for linguistically diverse patients. A low-income government-sponsored managed care plan implemented a 27-week automated telephone self-management support/health coaching intervention for English-, Spanish-, and Cantonese-speaking members from 4 publicly funded clinics in a practice-based research network. Compared to waitlist, immediate intervention participants had greater 6-month improvements in overall diabetes self-care behaviors (standardized effect size [ES] = 0.29, P < .01) and 12-Item Short Form Health Survey physical scores (ES = 0.25, P = .03); changes in patient-centered processes of care and cardiometabolic outcomes did not differ. Automated telephone self-management is a strategy for improving patient-reported self-management and may also improve some outcomes.
© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
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chronic disease, diabetes, health care disparities, health information technology, health literacy, limited English proficiency, practice-based research network, self-care
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