AI Article Synopsis
- - The study aimed to assess the effectiveness of the CAIPaDi program, a comprehensive care initiative designed to help patients with type 2 diabetes reach and maintain their health goals through tailored interventions over 24 months.
- - The program involved nine interventions over seven hours and included four initial visits followed by two follow-ups, resulting in significant improvements in key health metrics among participants, such as HbA1c, blood pressure, and cholesterol levels.
- - After two years, the program showed sustained improvements in achieving diabetes treatment goals and also positively impacted patients' empowerment and quality of life, while maintaining low levels of anxiety and depression.
Article Abstract
Aims: To evaluate the effectiveness of a comprehensive care program to achieve and maintain goals in patients with type 2 diabetes.
Methods: The CAIPaDi program includes 9 interventions delivered in 7 h. It seeks to achieve metabolic goals, identify and resolve barriers that would make implementation difficult, and provide self-efficacy and empowerment to patients by identifying personal profiles to establish individualized strategies. The program consists of a 4 intervention visits (1, 2, 3, and 4 months) and two follow up visits (12 and 24 months). Outcomes are compared between every visit. Main outcome was the attainment of the USA National Committee for Quality Assurance treatment goals.
Results: 1104 patients completed the first 4 visits, 545 the 12 month evaluation, and 218 the 24 month evaluation. After the conclusion of the four monthly sessions, 80.6% had HbA1c <7%, 72.1% had BP <130/80 mmHg and 71.6% had LDL- cholesterol <100 mg/dl. After twelve months, the percentage of goals achieved were 65.9%, 67.7% and 43.3% respectively (p < 0.001). For the 2-year evaluation the percentages were 61.0%, 70.6%, and 40.8% respectively (p < 0.001). All patients had renal, eye, foot and dental evaluations. Empowerment and quality of life showed significant changes; anxiety and depression scores remained low at annual follow-ups.
Conclusions: The CAIPaDI program results in sustained improvement and maintenance of treatment goals.
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Source |
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| http://dx.doi.org/10.1016/j.diabres.2019.04.009 | DOI Listing |
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