ArticleImproved Intermediate Clinical Outcomes From Participation in a Diabetes Health Education ProgramRoblin, Douglas W. PhD; Ntekop, Emmanuel MBBS, MPH; Becker, Edmund R. PhDAuthor Information The Center for Health Research/Southeast, Kaiser Permanente Georgia (Dr Roblin and Mr Ntekop), and the Rollins School of Public Health at Emory University, Atlanta, Ga (Dr Becker). Corresponding author: Douglas W. Roblin, PhD, The Center for Health Research/Southeast, Kaiser Permanente Georgia, 3495 Piedmont Rd NE, Bldg 9, Atlanta, GA 30305 (e-mail: [email protected]). Journal of Ambulatory Care Management: January-March 2007 - Volume 30 - Issue 1 - p 64-73 Buy Abstract Diabetes self-management education programs are an essential strategy for improving health behaviors of adults with diabetes and, therefore, intermediate clinical outcomes. We conducted a retrospective observational study using a case:control design to estimate the impact of participation in a diabetes health education program on glycemic and lipid levels, accounting for nonrandom participation of adults with diabetes in the program (“regression to the mean”). Adults with diabetes in a group-model managed care organization who attended the diabetes health education program during the period January 1, 2003, through June 30, 2004 (“participants”), were randomly matched with 4 adults with diabetes who did not participate (“nonparticipants”). Participants (N = 1991) and nonparticipants (N = 7964) were matched on age group, gender, mean hemoglobin A1c (Hb A1c) (or low-density lipoprotein) in the 6 months prior to the class (or randomly selected index month for nonparticipants), and primary care practice where the patients received regular care. On average, participants had significantly (P < .05) worse glycemic and lipid levels in the 6 months prior to participation compared to nonparticipants. Participation in the diabetes education program significantly improved glycemic and lipid levels between baseline and follow-up periods above the improvement attributable to regression to the mean. For example, nonparticipants with baseline Hb A1c levels greater than 10.0% had improved Hb A1c levels of −1.7% (P < .01); however, among participants, mean Hb A1c levels improved an additional −1.6% (P < .01). Overall, the evidence suggests that participation in a multifactorial diabetes health education program significantly improved glycemic and lipid levels in the short-term, particularly among participants with extremely adverse Hb A1c or low-density lipoprotein levels prior to participation. © 2007 Lippincott Williams & Wilkins, Inc.