A randomised controlled trail in diabetes demonstrating the positive impact of a patient activation strategy on diabetes processes and HbA1c: The WICKED project.

2.50
Hdl Handle:
http://hdl.handle.net/2436/620663
Title:
A randomised controlled trail in diabetes demonstrating the positive impact of a patient activation strategy on diabetes processes and HbA1c: The WICKED project.
Authors:
Gillani, Syed M R; Nevill, Alan M.; Singh, Baldev M
Abstract:
Background: Patient activation is a demonstration of people participating effectively in their own care as measurable in objective outcomes. Techniques of activating patients are various. Aims: We developed a structured information booklet to promote patient activation and report the 1-year outcomes of a randomised controlled trial assessing its impact on diabetes care processes and on glycaemic control. Design and setting: It is an open label cluster randomised trial involving all people with diabetes aged more than 18 years within Wolverhampton Clinical Commissioning Group. Methods: All people with diabetes were cluster randomised into a group who were multiply mailed (MM) at 0, 3 and 6 months whilst a control group was mailed once at 3 months. Comparison of a Failed Process Score (FPS) between active and control groups was performed at 0, 3 and 12 months and of HbA1c at baseline and 12 months. Results: FPS improved significantly with multiple mailing (p=0.013), with particular impact on those with poor baseline FPS (≥2) (achieved FPS ≤1 at 12 months 49.2% vs. 46.0%, χ2=6.09, p<0.05). Overall HbA1c% across the year (adjusted) was significantly better with MM (p=0.021), with specific impact in those with a baseline HbA1c ≤7.5 (MM HbA1c% 6.7±0.07 (mean±SEM) vs. 7.0±0.09; mean±SEM difference 0.3±0.1, F=11.1, p=0.009). Conclusion: The direct provision of structured information to people with diabetes activates them to engage in their care delivery as reflected in care process and glycaemic control outcomes.
Citation:
A randomised controlled trail in diabetes demonstrating the positive impact of a patient activation strategy on diabetes processes and HbA1c: The WICKED project. 2017, 17 (2):58 British Journal of Diabetes
Publisher:
ABCD (Diabetes Care) Ltd
Journal:
British Journal of Diabetes
Issue Date:
25-Jun-2017
URI:
http://hdl.handle.net/2436/620663
DOI:
10.15277/bjd.2017.134
Additional Links:
http://www.bjd-abcd.com/index.php/bjd/article/view/224
Type:
Article
Language:
en
ISSN:
1474-6514
Appears in Collections:
Sport, Exercise and Health Research Group

Full metadata record

DC FieldValue Language
dc.contributor.authorGillani, Syed M Ren
dc.contributor.authorNevill, Alan M.en
dc.contributor.authorSingh, Baldev Men
dc.date.accessioned2017-09-18T15:34:07Z-
dc.date.available2017-09-18T15:34:07Z-
dc.date.issued2017-06-25-
dc.identifier.citationA randomised controlled trail in diabetes demonstrating the positive impact of a patient activation strategy on diabetes processes and HbA1c: The WICKED project. 2017, 17 (2):58 British Journal of Diabetesen
dc.identifier.issn1474-6514en
dc.identifier.doi10.15277/bjd.2017.134-
dc.identifier.urihttp://hdl.handle.net/2436/620663-
dc.description.abstractBackground: Patient activation is a demonstration of people participating effectively in their own care as measurable in objective outcomes. Techniques of activating patients are various. Aims: We developed a structured information booklet to promote patient activation and report the 1-year outcomes of a randomised controlled trial assessing its impact on diabetes care processes and on glycaemic control. Design and setting: It is an open label cluster randomised trial involving all people with diabetes aged more than 18 years within Wolverhampton Clinical Commissioning Group. Methods: All people with diabetes were cluster randomised into a group who were multiply mailed (MM) at 0, 3 and 6 months whilst a control group was mailed once at 3 months. Comparison of a Failed Process Score (FPS) between active and control groups was performed at 0, 3 and 12 months and of HbA1c at baseline and 12 months. Results: FPS improved significantly with multiple mailing (p=0.013), with particular impact on those with poor baseline FPS (≥2) (achieved FPS ≤1 at 12 months 49.2% vs. 46.0%, χ2=6.09, p<0.05). Overall HbA1c% across the year (adjusted) was significantly better with MM (p=0.021), with specific impact in those with a baseline HbA1c ≤7.5 (MM HbA1c% 6.7±0.07 (mean±SEM) vs. 7.0±0.09; mean±SEM difference 0.3±0.1, F=11.1, p=0.009). Conclusion: The direct provision of structured information to people with diabetes activates them to engage in their care delivery as reflected in care process and glycaemic control outcomes.en
dc.language.isoenen
dc.publisherABCD (Diabetes Care) Ltden
dc.relation.urlhttp://www.bjd-abcd.com/index.php/bjd/article/view/224en
dc.rightsArchived with thanks to British Journal of Diabetesen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectdiabetesen
dc.subjectcare deliveryen
dc.subjectpatient activationen
dc.subjectpatient engagementen
dc.subjectkey care processesen
dc.titleA randomised controlled trail in diabetes demonstrating the positive impact of a patient activation strategy on diabetes processes and HbA1c: The WICKED project.en
dc.typeArticleen
dc.identifier.journalBritish Journal of Diabetesen
dc.date.accepted2017-
rioxxterms.funderinternalen
rioxxterms.identifier.projectUOW181917ANen
rioxxterms.versionAMen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2017-09-18en
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