Pilot feasibility and efficacy of a strategy to sustain A1C improvement among diverse adults with type 2 diabetes completing a diabetes care management program
Authors' conclusion
Among completers of a 3-month DCM program, a low intensity 9-month sustaining strategy maintained A1C under 8.0% (HEDIS (Healthcare Effectiveness Data and Information Set) threshold for diabetes control) compared with controls for 15 months after completion of the initial DCM intervention.
Study context
- Population
- Adults with T2D completing a 3-month Diabetes Boot Camp (diabetes care management (DCM) program), March 2019–July 2021; mean age 55.9 years, 58.2% women, 66.2% black, 30.6% Medicare
- Participants
- 838 DCM completers
- Comparison
- Boot Camp-Plus (BC-Plus) sustaining strategy vs controls after a 3-month Diabetes Boot Camp
- BC-Plusn = 281
- Controlsn = 557reference
- Primary endpoint
- Change in A1C between BC-Plus and controls
- Follow-up
- Month 0 to month 21
Methodological detailsfeasibility, non-randomised controls, longitudinal mixed effects analysis
- Feasibility
- Non-randomised controls
- Longitudinal mixed effects analysis
Primary result
As reported in the abstract
A1C · to month 21
- BC-Plus had significantly lower A1C than controls and remained below 8.0% to month 18
Original publication
Pilot feasibility and efficacy of a strategy to sustain A1C improvement among diverse adults with type 2 diabetes completing a diabetes care management program. BMJ Open Diabetes Res Care. Published 11 March 2024. doi:10. 1136/ bmjdrc-2023-003788
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