MARC表示: Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design

Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design

Objective: To evaluate the effect of a team-based multi-component intervention care (MIC) program in obese patients with type 2 diabetes (T2D) and poor glycemic control. Methods: Patients with T2D and HbA(1c) >= 8 % and body mass index (BMI) >= 27 kg/m(2) and/or waist circumference > 80 cm...

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主要な著者:	Lim, Lee Ling, Lau, Eric S. H., Ozaki, Risa, So, Tammy T. Y., Wong, Rebecca Y. M., Chow, Elaine Y. K., Ma, Ronald C. W., Luk, Andrea O. Y., Chan, Juliana C. N., Kong, Alice P. S.
フォーマット:	論文
出版事項:	Elsevier 2022
主題:	R Medicine (General)
オンライン･アクセス:	http://eprints.um.edu.my/40328/
タグ:	タグ追加タグなし, このレコードへの初めてのタグを付けませんか!

id	my.um.eprints.40328
record_format	eprints
spelling	my.um.eprints.403282023-11-23T03:06:00Z http://eprints.um.edu.my/40328/ Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design Lim, Lee Ling Lau, Eric S. H. Ozaki, Risa So, Tammy T. Y. Wong, Rebecca Y. M. Chow, Elaine Y. K. Ma, Ronald C. W. Luk, Andrea O. Y. Chan, Juliana C. N. Kong, Alice P. S. R Medicine (General) Objective: To evaluate the effect of a team-based multi-component intervention care (MIC) program in obese patients with type 2 diabetes (T2D) and poor glycemic control. Methods: Patients with T2D and HbA(1c) >= 8 % and body mass index (BMI) >= 27 kg/m(2) and/or waist circumference > 80 cm in women and > 90 cm in men were recruited. The intervention in Diabetes Centre included 1) nurse-led, group-based workshops; 2) review by endocrinologists; 3) telephone reminders by healthcare assistants and 4) peer support during visits. The usual care (UC) group received consultations at outpatient clinic without workshops or peer support. The MIC group received UC after 1-year of intervention. The primary outcome was change of HbA(1c) from baseline at 1- and 3-year. Results: Of 207 eligible patients age (mean +/- standard deviation): 56.9 +/- 8.8 years, 47.4 % men, disease duration: 13.5 +/- 8.2 years, HbA(1c): 9.6 +/- 1.3 %, BMI: 28.8 +/- 4.3 kg/m(2), waist circumference: 101.5 +/- 9.9 cm (men), 95.3 +/- 9.8 cm (women)], 104 received MIC and 103 received UC. 95 % patients had repeat assessments at 1- and 3-year. After adjustment for confounders, MIC had greater HbA(1c) reduction (beta-0.51, 95 % confidence interval CI] -1.00 to -0.01; P = 0.045) than UC at 1-year, with sustained improvement at 3-year (beta-0.56, CI -1.10 to -0.02; P - 0.044). Conclusion: Team-based MIC for 1 year improved glycemic control in obese T2D which was sustained at 3-year. Elsevier 2022-12 Article PeerReviewed Lim, Lee Ling and Lau, Eric S. H. and Ozaki, Risa and So, Tammy T. Y. and Wong, Rebecca Y. M. and Chow, Elaine Y. K. and Ma, Ronald C. W. and Luk, Andrea O. Y. and Chan, Juliana C. N. and Kong, Alice P. S. (2022) Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design. Diabetes Research and Clinical Practice, 194. ISSN 0168-8227, DOI https://doi.org/10.1016/j.diabres.2022.110138 <https://doi.org/10.1016/j.diabres.2022.110138>. 10.1016/j.diabres.2022.110138
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine (General)
spellingShingle	R Medicine (General) Lim, Lee Ling Lau, Eric S. H. Ozaki, Risa So, Tammy T. Y. Wong, Rebecca Y. M. Chow, Elaine Y. K. Ma, Ronald C. W. Luk, Andrea O. Y. Chan, Juliana C. N. Kong, Alice P. S. Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
description	Objective: To evaluate the effect of a team-based multi-component intervention care (MIC) program in obese patients with type 2 diabetes (T2D) and poor glycemic control. Methods: Patients with T2D and HbA(1c) >= 8 % and body mass index (BMI) >= 27 kg/m(2) and/or waist circumference > 80 cm in women and > 90 cm in men were recruited. The intervention in Diabetes Centre included 1) nurse-led, group-based workshops; 2) review by endocrinologists; 3) telephone reminders by healthcare assistants and 4) peer support during visits. The usual care (UC) group received consultations at outpatient clinic without workshops or peer support. The MIC group received UC after 1-year of intervention. The primary outcome was change of HbA(1c) from baseline at 1- and 3-year. Results: Of 207 eligible patients age (mean +/- standard deviation): 56.9 +/- 8.8 years, 47.4 % men, disease duration: 13.5 +/- 8.2 years, HbA(1c): 9.6 +/- 1.3 %, BMI: 28.8 +/- 4.3 kg/m(2), waist circumference: 101.5 +/- 9.9 cm (men), 95.3 +/- 9.8 cm (women)], 104 received MIC and 103 received UC. 95 % patients had repeat assessments at 1- and 3-year. After adjustment for confounders, MIC had greater HbA(1c) reduction (beta-0.51, 95 % confidence interval CI] -1.00 to -0.01; P = 0.045) than UC at 1-year, with sustained improvement at 3-year (beta-0.56, CI -1.10 to -0.02; P - 0.044). Conclusion: Team-based MIC for 1 year improved glycemic control in obese T2D which was sustained at 3-year.
format	Article
author	Lim, Lee Ling Lau, Eric S. H. Ozaki, Risa So, Tammy T. Y. Wong, Rebecca Y. M. Chow, Elaine Y. K. Ma, Ronald C. W. Luk, Andrea O. Y. Chan, Juliana C. N. Kong, Alice P. S.
author_facet	Lim, Lee Ling Lau, Eric S. H. Ozaki, Risa So, Tammy T. Y. Wong, Rebecca Y. M. Chow, Elaine Y. K. Ma, Ronald C. W. Luk, Andrea O. Y. Chan, Juliana C. N. Kong, Alice P. S.
author_sort	Lim, Lee Ling
title	Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
title_short	Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
title_full	Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
title_fullStr	Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
title_full_unstemmed	Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design
title_sort	team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (t2d) in a diabetes centre setting: a quality improvement program with quasi-experimental design
publisher	Elsevier
publishDate	2022
url	http://eprints.um.edu.my/40328/
_version_	1783876702348247040
score	13.251813

Team-based multicomponent care improved and sustained glycaemic control in obese people with type 2 diabetes (T2D) in a Diabetes Centre setting: A quality improvement program with quasi-experimental design

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