TY - JOUR
T1 - Care Utilization Patterns and Diabetes Self-management Education Duration
AU - Johnson, Tammie M.
AU - Richards, Jennifer
AU - Churilla, James R.
N1 - Johnson, Richards, J., & Churilla, J. R. (2015). Care Utilization Patterns and Diabetes Self-Management Education Duration. Diabetes Spectrum : A Publication of the American Diabetes Association, 28(3), 193–200. https://doi.org/10.2337/diaspect.28.3.193
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Objective: Previous studies have shown that receiving diabetes self-management education (DSME) is associated with increased care utilization. However, the relationship between DSME duration and care utilization patterns remains largely unexamined. Our purpose is to characterize DSME duration and examine the relationship between DSME duration and clinicaland self-care utilization patterns. Methods: The study sample included 1,446 adults who were ≥18 years of age, had diabetes, and had participated in the 2008 Florida Behavioral Risk Factor Surveillance System survey. Clinical- and self-care outcomes were derived using responses to the survey's diabetes module and were based on minimum standards of care established by the American Diabetes Association. The outcomes examined included self-monitoring of blood glucose at least once per day; receiving at least one eye exam, one foot exam, A1C tests, and an influenza vaccination in the past year; and ever receiving a pneumococcal vaccination. DSME duration was categorized as no DSME, >0 to <4 >hours, 4.10 hours, and >10 hours. Results: After adjusting for sociodemographic variables, compared to those who did not receive DSME, those who had 4.10 or 10+ hours of DSME were more likely to receive two A1C tests (odds ratio [95% CI] 2.69 [1.30-5.58] and 2.63 [1.10-6.31], respectively) and have a pneumococcal vaccination (1.98 [1.03-3.80] and 1.92 [1.01-3.64], respectively). Those receiving 10+ hours of DSME were 2.2 times (95% CI 1.18-4.09) as likely to have an influenza vaccination. Conclusion: These data reveal a positive relationship between DSME duration and utilization of some diabetes clinical care services.
AB - Objective: Previous studies have shown that receiving diabetes self-management education (DSME) is associated with increased care utilization. However, the relationship between DSME duration and care utilization patterns remains largely unexamined. Our purpose is to characterize DSME duration and examine the relationship between DSME duration and clinicaland self-care utilization patterns. Methods: The study sample included 1,446 adults who were ≥18 years of age, had diabetes, and had participated in the 2008 Florida Behavioral Risk Factor Surveillance System survey. Clinical- and self-care outcomes were derived using responses to the survey's diabetes module and were based on minimum standards of care established by the American Diabetes Association. The outcomes examined included self-monitoring of blood glucose at least once per day; receiving at least one eye exam, one foot exam, A1C tests, and an influenza vaccination in the past year; and ever receiving a pneumococcal vaccination. DSME duration was categorized as no DSME, >0 to <4 >hours, 4.10 hours, and >10 hours. Results: After adjusting for sociodemographic variables, compared to those who did not receive DSME, those who had 4.10 or 10+ hours of DSME were more likely to receive two A1C tests (odds ratio [95% CI] 2.69 [1.30-5.58] and 2.63 [1.10-6.31], respectively) and have a pneumococcal vaccination (1.98 [1.03-3.80] and 1.92 [1.01-3.64], respectively). Those receiving 10+ hours of DSME were 2.2 times (95% CI 1.18-4.09) as likely to have an influenza vaccination. Conclusion: These data reveal a positive relationship between DSME duration and utilization of some diabetes clinical care services.
U2 - 10.2337/diaspect.28.3.193
DO - 10.2337/diaspect.28.3.193
M3 - Article
SN - 1040-9165
VL - 28
SP - 193
EP - 200
JO - Diabetes Spectrum
JF - Diabetes Spectrum
IS - 3
ER -