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A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors.

Publication ,  Journal Article
Kirkman, MS; Weinberger, M; Landsman, PB; Samsa, GP; Shortliffe, EA; Simel, DL; Feussner, JR
Published in: Diabetes Care
August 1994

OBJECTIVE: To examine whether a telephone-delivered intervention (TDI), designed to improve glycemic control in patients with non-insulin-dependent diabetes mellitus (NIDDM), improved coronary risk factors in high-risk patients. RESEARCH DESIGN AND METHODS: This randomized controlled trial involved 275 veterans with NIDDM followed in a general medical clinic. Intervention (TDI) patients were telephoned at least monthly by a nurse. Calls emphasized compliance with the medical regimen (diet, medications, and exercise), encouraged behavioral changes, and facilitated referrals to a dietitian or smoking cessation clinic. Control patients received no such calls. Baseline and 12-month follow-up measurements included fasting lipid profiles, weight, smoking status (self-reported; cessation verified by measurement of exhaled CO), adherence to diet and exercise (self-reported), appointments, and medications (hospital computerized data base). RESULTS: After 12 months, equal numbers of obese patients in the two groups reported adhering to a diabetic diet and exercising, although more obese TDI patients had seen a dietitian (30 vs. 7%, P = 0.003). Weight loss was not seen in either group (-0.9 +/- 5.3 vs. -0.1 +/- 3.6 kg, P = 0.202). Hyperlipidemic TDI patients were more likely to see a dietitian (31 vs. 6%, P = 0.003) and receive lipid-lowering medications (22 vs. 9%, P = 0.096), but serum cholesterol reduction was similar between groups (-11.7 +/- 33.4 vs. -4.3 +/- 32.7 mg/dl, P = 0.270); comparable results were seen for high-density lipoprotein, low-density lipoprotein, and triglyceride levels. More TDI group smokers reported quitting (26 vs. 0%, P = 0.033), but the difference was not significant for CO-verified abstention (10 vs. 0%, P = 0.231). CONCLUSIONS: The TDI improved self-reported adherence to regimens that might reduce coronary risk, but had little effect on objective measures of risk.

Duke Scholars

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Published In

Diabetes Care

DOI

ISSN

0149-5992

Publication Date

August 1994

Volume

17

Issue

8

Start / End Page

840 / 846

Location

United States

Related Subject Headings

  • Triglycerides
  • Telephone
  • Smoking Cessation
  • Risk Factors
  • Obesity
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Glycated Hemoglobin
 

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Kirkman, M. S., Weinberger, M., Landsman, P. B., Samsa, G. P., Shortliffe, E. A., Simel, D. L., & Feussner, J. R. (1994). A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors. Diabetes Care, 17(8), 840–846. https://doi.org/10.2337/diacare.17.8.840
Kirkman, M. S., M. Weinberger, P. B. Landsman, G. P. Samsa, E. A. Shortliffe, D. L. Simel, and J. R. Feussner. “A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors.Diabetes Care 17, no. 8 (August 1994): 840–46. https://doi.org/10.2337/diacare.17.8.840.
Kirkman MS, Weinberger M, Landsman PB, Samsa GP, Shortliffe EA, Simel DL, et al. A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors. Diabetes Care. 1994 Aug;17(8):840–6.
Kirkman, M. S., et al. “A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors.Diabetes Care, vol. 17, no. 8, Aug. 1994, pp. 840–46. Pubmed, doi:10.2337/diacare.17.8.840.
Kirkman MS, Weinberger M, Landsman PB, Samsa GP, Shortliffe EA, Simel DL, Feussner JR. A telephone-delivered intervention for patients with NIDDM. Effect on coronary risk factors. Diabetes Care. 1994 Aug;17(8):840–846.

Published In

Diabetes Care

DOI

ISSN

0149-5992

Publication Date

August 1994

Volume

17

Issue

8

Start / End Page

840 / 846

Location

United States

Related Subject Headings

  • Triglycerides
  • Telephone
  • Smoking Cessation
  • Risk Factors
  • Obesity
  • Middle Aged
  • Male
  • Humans
  • Health Behavior
  • Glycated Hemoglobin