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Open Access Publications from the University of California

Diabetes health information technology innovation to improve quality of life for health plan members in urban safety net.

  • Author(s): Ratanawongsa, Neda
  • Handley, Margaret A
  • Sarkar, Urmimala
  • Quan, Judy
  • Pfeifer, Kelly
  • Soria, Catalina
  • Schillinger, Dean
  • et al.

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.

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