scholarly journals Primary Care–Based Health Coaching for the Management of Prediabetes

2017 ◽  
Vol 12 (2) ◽  
pp. 175-178 ◽  
Author(s):  
Ryan P. Sherman ◽  
Ishani Ganguli
Keyword(s):  
Primary Care ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Health Coaching ◽  
Study Objective ◽  
Coaching Intervention ◽  
Prevalent Disease ◽  
Primary Care Patients ◽  
Examination Methods

Introduction. Prediabetes is a prevalent disease that has been associated with its own health risks and is a known precursor of type 2 diabetes. Lifestyle interventions are known to effectively treat prediabetes but are often not offered to patients within a primary care setting. Study Design. Exploratory and descriptive study. Objective. To assess if the use of a health coaching intervention among primary care patients, with prediabetes, warrants further examination. Methods. A retrospective chart review was conducted for all patients who had prediabetes and received health coaching at the Ambulatory Practice of the Future between 2012 and 2014. Discussion. A health coaching intervention used among primary care patients, with prediabetes, deserves further examination, as participants had a significant reduction in hemoglobin A1c and weight over 2 years.

scholarly journals Primary care-public health linkages: Older primary care patients with prediabetes & type 2 diabetes encouraged to attend community-based senior centers

2016 ◽  
Vol 4 ◽  
pp. 283-288 ◽  
Author(s):  
Polly H. Noël ◽  
Michael L. Parchman ◽  
Erin P. Finley ◽  
Chen-Pin Wang ◽  
Mary Bollinger ◽  
...  
Keyword(s):  
Public Health ◽  
Type 2 Diabetes ◽  
Primary Care ◽  
Community Based ◽  
Senior Centers ◽  
Primary Care Patients

scholarly journals Patterns of Adherence to Oral Hypoglycemic Agents and Glucose Control among Primary Care Patients with Type 2 Diabetes

2014 ◽  
Vol 42 (2) ◽  
pp. 63-71 ◽  
Author(s):  
Heather F. de Vries McClintock ◽  
Knashawn H. Morales ◽  
Dylan S. Small ◽  
Hillary R. Bogner
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Glucose Control ◽  
Hypoglycemic Agents ◽  
Oral Hypoglycemic Agents ◽  
Primary Care Patients

scholarly journals Filling Gaps and Setting Boundaries: Examining Utilization of Health and Social services at JeffHOPE Student Run Clinics

2021 ◽  
Vol 12 ◽  
pp. 215013272110375
Author(s):  
Roy Wang ◽  
Amanda Guth ◽  
Alyssa Tate ◽  
Michele Ly ◽  
James Plumb
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Social Services ◽  
Chart Review ◽  
Retrospective Chart Review ◽  
Patient Survey ◽  
Care Services ◽  
Primary Care Services ◽  
Clinic Site ◽  
Care Gaps

The objective of this study was to describe the frequency that healthcare and social support services offered by JeffHOPE, a student run clinic for people experiencing homelessness in Philadelphia, PA, were utilized by patients. This study also aimed to investigate where patients would seek medical care on a given day had they not been able to access JeffHOPE. This study was conducted via mixed methods consisting of retrospective chart review of patient encounter records and a patient survey conducted weekly throughout 2019, both at a single clinic site, and retrospective chart review of January through March 2020 records at 5 clinic sites. This study found that the frequency of services utilized varied between clinic sites, and that Pharmacy and Procedure committees were the most utilized when examining the combined clinic data. Additionally, the survey found that JeffHOPE provided medical care to those that otherwise would not have sought it. Clinics also served as an alternative to accessing care for non-emergent issues in an Emergency Department (ED) for some patients, but for others it replaced seeing their primary care provider (PCP). This study confirmed that the services offered by JeffHOPE are well-utilized by patients experiencing homelessness in Philadelphia. It also revealed that while the organization’s medical services filled care gaps and potentially decreased unnecessary ED visits, they were also sometimes accessed in lieu of a PCP visit. A focused effort on linkage to formal primary care services for all JeffHOPE patients and expanding collection of more granular data to all clinics represent important future endeavors for this student run organization.

scholarly journals Two-year effectiveness of a stepped-care depression prevention intervention and predictors of incident depression in primary care patients with diabetes type 2 and/or coronary heart disease and subthreshold depression: data from the Step-Dep cluster randomised controlled trial

BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e020412 ◽  
Author(s):  
Alide Danielle Pols ◽  
Marcel C Adriaanse ◽  
Maurits W van Tulder ◽  
Martijn W Heymans ◽  
Judith E Bosmans ◽  
...  
Keyword(s):  
Primary Care ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cumulative Incidence ◽  
Stepped Care ◽  
Subthreshold Depression ◽  
Depression Prevention ◽  
Primary Care Patients

IntroductionMajor depressive disorders (MDD), diabetes mellitus type 2 (DM2) and coronary heart disease (CHD) are leading contributors to the global burden of disease and often co-occur.ObjectivesTo evaluate the 2-year effectiveness of a stepped-care intervention to prevent MDD compared with usual care and to develop a prediction model for incident depression in patients with DM2 and/or CHD with subthreshold depression.MethodsData of 236 Dutch primary care patients with DM2/CHD with subthreshold depression (Patient Health Questionnaire 9 (PHQ-9) score ≥6, no current MDD according to the Mini International Neuropsychiatric Interview (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria)) who participated in the Step-Dep trial were used. A PHQ-9 score of ≥10 at minimally one measurement during follow-up (at 3, 6, 9, 12 and 24 months) was used to determine the cumulative incidence of MDD. Potential demographic and psychological predictors were measured at baseline via web-based self-reported questionnaires and evaluated using a multivariable logistic regression model. Model performance was assessed with the Hosmer-Lemeshow test, Nagelkerke’s R2explained variance and area under the receiver operating characteristic curve (AUC). Bootstrapping techniques were used to internally validate our model.Results192 patients (81%) were available at 2-year follow-up. The cumulative incidence of MDD was 97/192 (51%). There was no statistically significant overall treatment effect over 24 months of the intervention (OR 1.37; 95% CI 0.52 to 3.55). Baseline levels of anxiety, depression, the presence of >3 chronic diseases and stressful life events predicted the incidence of MDD (AUC 0.80, IQR 0.79–0.80; Nagelkerke’s R20.34, IQR 0.33–0.36).ConclusionA model with 4 factors predicted depression incidence during 2-year follow-up in patients with DM2/CHD accurately, based on the AUC. The Step-Dep intervention did not influence the incidence of MDD. Future depression prevention programmes should target patients with these 4 predictors present, and aim to reduce both anxiety and depressive symptoms.Trial registration numberNTR3715.

Empowering Diabetes Self-Management Through Technology and Nurse Health Coaching

2019 ◽  
Vol 45 (6) ◽  
pp. 586-595
Author(s):  
Sheridan Miyamoto ◽  
Stuart Henderson ◽  
Sarina Fazio ◽  
Bruno Saconi ◽  
Elizabeth Thiede ◽  
...  
Keyword(s):  
Thematic Analysis ◽  
Intervention Study ◽  
Health Coaching ◽  
Self Management ◽  
Coaching Intervention ◽  
Qualitative Thematic Analysis ◽  
Technology Intervention ◽  
Mhealth Technology ◽  
The Impact

Purpose This research explores the impact of mobile health (mHealth) technology and nurse health coaching on views of diabetes self-management (DSM) for persons living with diabetes. Methods Three focus groups (N = 24) were conducted with individuals living with type 2 diabetes who participated in a nurse health coaching and mHealth technology intervention study. Qualitative thematic analysis was used to identify overarching themes in each group. Results Major themes identified following intervention participation included enhanced perspectives about living with diabetes, increased awareness of how health behaviors influence DSM, improved support, and increased ownership of DSM. Conclusions The themes identified suggest that the mHealth technology and health coaching intervention together may have had an empowering effect on participants’ DSM. These results suggest that providing nurse health coaching with mHealth technology may help individuals ameliorate some of the challenges of living with and managing diabetes.

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