Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study
Objective. The Chronic Care Model, based on core elements of team-centered care in chronic diseases, has widely been accepted. This study was aimed at evaluating the effectiveness of the Chronic Care Model in type 2 diabetes management. Methods. A group randomized experimental study was conducted. T...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Diabetes Research |
| Online Access: | http://dx.doi.org/10.1155/2019/6516581 |
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| author | Jing-Xia Kong Lin Zhu Hong-Mei Wang Ying Li An-Ying Guo Chao Gao Yan-Yao Miao Ting Wang Xiao-Yang Lu Hong-Hong Zhu Donald L. Patrick |
| author_facet | Jing-Xia Kong Lin Zhu Hong-Mei Wang Ying Li An-Ying Guo Chao Gao Yan-Yao Miao Ting Wang Xiao-Yang Lu Hong-Hong Zhu Donald L. Patrick |
| author_sort | Jing-Xia Kong |
| collection | DOAJ |
| description | Objective. The Chronic Care Model, based on core elements of team-centered care in chronic diseases, has widely been accepted. This study was aimed at evaluating the effectiveness of the Chronic Care Model in type 2 diabetes management. Methods. A group randomized experimental study was conducted. Twelve communities of the Zhaohui Community Health Service Center in Hangzhou, China, were randomly assigned into an intervention group (n=6) receiving the Chronic Care Model-based intervention and a control group (n=6) receiving conventional care. A total of three hundred patients, twenty-five for each community, aged ≥18 years with type 2 diabetes for at least 1-year duration, were recruited. Data of health behaviors, clinical outcomes, and health-related quality of life (Short-Form 36-item questionnaire) were collected before and after a 9-month intervention and analyzed using descriptive statistics, t-test, chi-square test, binary logistic regression, and linear mixed regression. A total of 258 patients (134 in intervention and 124 in control) who completed the baseline and follow-up evaluations and the entire intervention were included in the final analyses. Results. Health behaviors such as drinking habit (OR=0.07, 95% CI: 0.01, 0.75), physical activity (OR=2.92, 95% CI: 1.18, 7.25), and diet habit (OR=4.30, 95% CI: 1.49, 12.43) were improved. The intervention group had a remarkable reduction in glycated hemoglobin (from 7.17% to 6.60%, P<0.001). The quality of life score changes of the role limitation due to physical problems (mean=9.97, 95% CI: 3.33, 16.60), social functioning (mean=6.50, 95% CI: 2.37, 10.64), role limitation due to emotional problems (mean=8.06, 95% CI: 2.15, 13.96), and physical component summary score (mean=3.31, 95% CI: 1.22, 5.39) were improved in the intervention group compared to the control group. Conclusion. The Chronic Care Model-based intervention helped improve some health behaviors, clinical outcomes, and quality of life of type 2 diabetes patients in China in a short term. |
| format | Article |
| id | doaj-art-5c9b114da9944c318d60cb74b5ec4a67 |
| institution | Kabale University |
| issn | 2314-6745 2314-6753 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Research |
| spelling | doaj-art-5c9b114da9944c318d60cb74b5ec4a672025-02-03T06:05:04ZengWileyJournal of Diabetes Research2314-67452314-67532019-01-01201910.1155/2019/65165816516581Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental StudyJing-Xia Kong0Lin Zhu1Hong-Mei Wang2Ying Li3An-Ying Guo4Chao Gao5Yan-Yao Miao6Ting Wang7Xiao-Yang Lu8Hong-Hong Zhu9Donald L. Patrick10Department of Social Medicine and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Social Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaDepartment of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, ChinaPreventive Medicine Institute, Louisiana, MO 63353, USADepartment of Health Services, University of Washington, H670 Health Sciences Building, Box 357660, Seattle, WA 98195-7660, USAObjective. The Chronic Care Model, based on core elements of team-centered care in chronic diseases, has widely been accepted. This study was aimed at evaluating the effectiveness of the Chronic Care Model in type 2 diabetes management. Methods. A group randomized experimental study was conducted. Twelve communities of the Zhaohui Community Health Service Center in Hangzhou, China, were randomly assigned into an intervention group (n=6) receiving the Chronic Care Model-based intervention and a control group (n=6) receiving conventional care. A total of three hundred patients, twenty-five for each community, aged ≥18 years with type 2 diabetes for at least 1-year duration, were recruited. Data of health behaviors, clinical outcomes, and health-related quality of life (Short-Form 36-item questionnaire) were collected before and after a 9-month intervention and analyzed using descriptive statistics, t-test, chi-square test, binary logistic regression, and linear mixed regression. A total of 258 patients (134 in intervention and 124 in control) who completed the baseline and follow-up evaluations and the entire intervention were included in the final analyses. Results. Health behaviors such as drinking habit (OR=0.07, 95% CI: 0.01, 0.75), physical activity (OR=2.92, 95% CI: 1.18, 7.25), and diet habit (OR=4.30, 95% CI: 1.49, 12.43) were improved. The intervention group had a remarkable reduction in glycated hemoglobin (from 7.17% to 6.60%, P<0.001). The quality of life score changes of the role limitation due to physical problems (mean=9.97, 95% CI: 3.33, 16.60), social functioning (mean=6.50, 95% CI: 2.37, 10.64), role limitation due to emotional problems (mean=8.06, 95% CI: 2.15, 13.96), and physical component summary score (mean=3.31, 95% CI: 1.22, 5.39) were improved in the intervention group compared to the control group. Conclusion. The Chronic Care Model-based intervention helped improve some health behaviors, clinical outcomes, and quality of life of type 2 diabetes patients in China in a short term.http://dx.doi.org/10.1155/2019/6516581 |
| spellingShingle | Jing-Xia Kong Lin Zhu Hong-Mei Wang Ying Li An-Ying Guo Chao Gao Yan-Yao Miao Ting Wang Xiao-Yang Lu Hong-Hong Zhu Donald L. Patrick Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study Journal of Diabetes Research |
| title | Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study |
| title_full | Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study |
| title_fullStr | Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study |
| title_full_unstemmed | Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study |
| title_short | Effectiveness of the Chronic Care Model in Type 2 Diabetes Management in a Community Health Service Center in China: A Group Randomized Experimental Study |
| title_sort | effectiveness of the chronic care model in type 2 diabetes management in a community health service center in china a group randomized experimental study |
| url | http://dx.doi.org/10.1155/2019/6516581 |
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