More Patients with Optimal Glycemic Control after Participation in a CSII-specific Education Program (INPUT) : Results from a Randomized Controlled Trial
Faculty/Professorship: | Clinical Psychology and Psychotherapy |
Author(s): | Kulzer, Bernhard ; Ehrmann, Dominic ![]() ![]() |
Corporate Body: | ADA 78th Scientific Sessions, 78, 2018, Orlando, Florida, USA |
Publisher Information: | Bamberg : Otto-Friedrich-Universität |
Year of publication: | 2020 |
Pages: | 1 |
Source/Other editions: | Diabetes : the journal of the American Diabetes Association. 67 (2018), Supplement 1, S. A176 (671-P). - ISSN: 0012-1797 |
is version of: | 10.2337/db18-671-P |
Year of first publication: | 2018 |
Language(s): | English |
DOI: | 10.20378/irb-47105 |
Licence: | German Act on Copyright |
URN: | urn:nbn:de:bvb:473-irb-471059 |
Abstract: | Despite the technological advances of CSII-therapy, many patients with CSII-therapy do not achieve optimal glycemic control. We developed an education program for CSII-therapy (INPUT) and evaluated its efficacy in a randomized controlled trial with a six-month follow-up. INPUT addresses the specific knowledge and skills to effectively handle CSII-therapy as well as possible psychological barriers. We analyzed whether participation in the INPUT program increased the number of patients with optimal glycemic control (HbA1c < 7.5%). 254 patients with CSII-therapy were randomized to either receive the INPUT education program or treatment-as-usual and assessed at follow-up. All patients were already performing CSII-therapy for 8.7 ± 6.8 years, with a mean diabetes duration of 23.1 ± 12.6 years. HbA1c at baseline was 8.3 ± 0.9%. Optimal glycemic control at baseline was achieved by 13% in the INPUT group and 20% in the control group. Logistic regression with group as independent factor controlling for optimal glycemic control at baseline was performed. Dependent variable was optimal glycemic control at the six-month followup. Group was a significant predictor with INPUT patients having a 2-fold higher chance to achieve optimal glycemic control (OR = 1.98; 95% CI 1.04 – 3.78; p = 0.037) compared to patients in the control group. At follow-up, 27% of the INPUT group had achieved optimal glycemic control while only 18 % in the control group. In this study, patients performed CSII-therapy for almost 10 years without achieving optimal glycemic control. After participation in INPUT, patient more often achieved optimal glycemic control compared to a treatment-as-usual control group. Thus, the INPUT education program was effective in improving glycemic control in patients with long-standing diabetes. Considering the higher costs of CSII-therapy, this beneficial effect of the education program has health-economic implications. |
GND Keywords: | Diabetologie; Patientenschulung |
DDC Classification: | 150 Psychology |
RVK Classification: | YC 6800 |
Type: | Conferenceobject |
URI: | https://fis.uni-bamberg.de/handle/uniba/47105 |
Release Date: | 11. February 2020 |
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