Effect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile

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dc.catalogadorpau
dc.contributor.authorLange Haensgen, Ilta Anita H.
dc.contributor.authorCampos Romero, Solange
dc.contributor.authorUrrutia Bunster, Mila
dc.contributor.authorBustamante Troncoso, Claudia Raquel
dc.contributor.authorAlcayaga Rojas, Claudia Andrea
dc.contributor.authorTellez, Alvaro
dc.contributor.authorPérez Ewert, Janet Carola
dc.contributor.authorVillarroel del Pino, Luis A.
dc.contributor.authorChamorro S., Gastón
dc.contributor.authorO'Connor, Annette
dc.contributor.authorPiette, John
dc.date.accessioned2023-05-18T19:49:41Z
dc.date.available2023-05-18T19:49:41Z
dc.date.issued2010
dc.description.abstractTelephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the "Summary of Diabetes Self-care Activities Measure" and the "Spanish Diabetes Self-efficacy" scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.
dc.format.extent9 páginas
dc.fuente.origenORCID
dc.identifier.doi10.4067/S0034-98872010000600010
dc.identifier.issn0034-9887
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-77956644714&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/67087
dc.information.autorucEscuela de Enfermería ; Lange Haensgen, Ilta Anita H. ; S/I ; 98190
dc.information.autorucEscuela de Enfermería ; Campos Romero, Solange ; 0000-0002-8838-7697 ; 638
dc.information.autorucEscuela de Enfermería ; Urrutia Bunster, Mila ; S/I ; 99243
dc.information.autorucEscuela de Enfermería ; Bustamante Troncoso, Claudia Raquel ; 0000-0002-7204-2571 ; 92348
dc.information.autorucEscuela de Enfermería ; Alcayaga Rojas, Claudia Andrea ; 0000-0003-0364-2116 ; 92451
dc.information.autorucEscuela de Medicina ; Tellez, Alvaro ; 0000-0003-1667-6243 ; 99828
dc.information.autorucEscuela de Psicología ; Pérez Ewert, Janet Carola ; 0000-0002-4917-1930 ; 136062
dc.information.autorucFacultad de Matemáticas ; Villarroel del Pino, Luis A. ; 0000-0001-9603-937X ; 77182
dc.information.autorucEscuela de Medicina ; Chamorro S., Gastón ; S/I ; 98543
dc.issue.numero6
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final737
dc.pagina.inicio729
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.subjectDiabetes mellitus, type 2
dc.subjectPrimary health care
dc.subjectSelf care
dc.subjectTelenursing
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.titleEffect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile
dc.title.alternativeEfecto de un modelo de apoyo telefónico en el auto-manejo y control metabólico de la diabetes tipo 2, en un centro de atención primaria, santiago, chile effect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile
dc.typeartículo
dc.volumen138
sipa.codpersvinculados98190
sipa.codpersvinculados638
sipa.codpersvinculados99243
sipa.codpersvinculados92348
sipa.codpersvinculados92451
sipa.codpersvinculados99828
sipa.codpersvinculados136062
sipa.codpersvinculados77182
sipa.codpersvinculados98543
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