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Standardized Follow-Ups Lower HbA1c in Adults With Type 2 Diabetes Living in a Rural Community: A Pilot Study
1Northern Illinois University, DeKalb, Illinois katherinecoulter@niu.edu.
Aim:
To implement and evaluate the use of a standardized process, which includes the teach-back method for follow-up among patients with type 2 diabetes in rural health care settings in order to reduce glycosylated hemoglobin A1c (HbA1c) in adults with diabetes.
Background:
It remains unclear whether or not controlled patient follow-up among patients with type 2 diabetes between office visits (at 3-month intervals) is effective in reducing their HbA1c.
Method:
This study recruited 12 participants from a rural health family practice in Northern Illinois to participate in a pretest-posttest study to evaluate if close patient follow-up with reinforced education was effective in helping patients reduce their HbA1c.
Results:
The preintervention for HbA1c and postintervention HbA1c mean difference was found to be statistically significant. The HbA1c level decreased from preintervention to postintervention (p < .05). Further, the mean and standard deviation from the preintervention for HbA1c and postintervention HbA1c were used to calculate an effect size using Cohen's d found that there was a medium to large effect size d = .67. The change in HbA1c levels was of clinical significance as well as statistical significance.
Conclusion:
The use of a standardized process for patient follow-up as part of routine management of type 2 diabetes appears to have had a clinically as well as statistically significant impact in reducing HbA1c levels.
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