Use of a multidisciplinary tool to achieve target outcomes in native American patients with diabetes

Treat-to-target

Emily L. Sexson, Michael S. Monaghan, Thomas L. Lenz, Ann Ryan Haddad, Gail Jensen, Gary Elsasser

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: Our purpose was to test a communication tool used in a multidisciplinary setting to more effectively achieve the recommended goals for glucose, blood pressure, lipids, and prophylactic aspirin use in a Native American population with type 2 diabetes. Methods: One hundred randomly selected patients were included in this observational, pre-intervention, post-intervention study design. The team began with a chart audit documenting hemoglobin A1c (Hgb A1c), blood pressure, cholesterol levels, and aspirin use. The intervention included the development of a one page form used to prompt providers to intensify therapy when the patient was not meeting evidence-based goals. The audit was repeated one year later. Results: Analysis of 74 patients completing the study showed a decrease in Hgb A1C from 8.812% pre-intervention to a mean 8.214% post-intervention (p < 0.007). At the time of pre-intervention audit, patients were already at target for blood pressure and no significant further decrease was found. Measures of total cholesterol, triglycerides, and aspirin use showed improvement, but statistical significance was not met. Conclusion: The one-page multidisciplinary tool used to intensify therapy significantly improved glucose control. More consistent interaction of the multidisciplinary team is necessary to reach other desired goals.

Original languageEnglish (US)
Pages (from-to)73-77
Number of pages5
JournalJournal of Multidisciplinary Healthcare
Volume1
DOIs
StatePublished - Sep 14 2008

Fingerprint

North American Indians
Aspirin
Blood Pressure
Cholesterol
Glucose
Type 2 Diabetes Mellitus
Hemoglobins
Triglycerides
Communication
Lipids
Therapeutics
Population

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Use of a multidisciplinary tool to achieve target outcomes in native American patients with diabetes : Treat-to-target. / Sexson, Emily L.; Monaghan, Michael S.; Lenz, Thomas L.; Haddad, Ann Ryan; Jensen, Gail; Elsasser, Gary.

In: Journal of Multidisciplinary Healthcare, Vol. 1, 14.09.2008, p. 73-77.

Research output: Contribution to journalArticle

@article{58d80aa1b5f44e5aad7ec9f386b37b4b,
title = "Use of a multidisciplinary tool to achieve target outcomes in native American patients with diabetes: Treat-to-target",
abstract = "Purpose: Our purpose was to test a communication tool used in a multidisciplinary setting to more effectively achieve the recommended goals for glucose, blood pressure, lipids, and prophylactic aspirin use in a Native American population with type 2 diabetes. Methods: One hundred randomly selected patients were included in this observational, pre-intervention, post-intervention study design. The team began with a chart audit documenting hemoglobin A1c (Hgb A1c), blood pressure, cholesterol levels, and aspirin use. The intervention included the development of a one page form used to prompt providers to intensify therapy when the patient was not meeting evidence-based goals. The audit was repeated one year later. Results: Analysis of 74 patients completing the study showed a decrease in Hgb A1C from 8.812{\%} pre-intervention to a mean 8.214{\%} post-intervention (p < 0.007). At the time of pre-intervention audit, patients were already at target for blood pressure and no significant further decrease was found. Measures of total cholesterol, triglycerides, and aspirin use showed improvement, but statistical significance was not met. Conclusion: The one-page multidisciplinary tool used to intensify therapy significantly improved glucose control. More consistent interaction of the multidisciplinary team is necessary to reach other desired goals.",
author = "Sexson, {Emily L.} and Monaghan, {Michael S.} and Lenz, {Thomas L.} and Haddad, {Ann Ryan} and Gail Jensen and Gary Elsasser",
year = "2008",
month = "9",
day = "14",
doi = "10.2147/JMDH.S4005",
language = "English (US)",
volume = "1",
pages = "73--77",
journal = "Journal of Multidisciplinary Healthcare",
issn = "1178-2390",
publisher = "Dove Medical Press Ltd.",

}

TY - JOUR

T1 - Use of a multidisciplinary tool to achieve target outcomes in native American patients with diabetes

T2 - Treat-to-target

AU - Sexson, Emily L.

AU - Monaghan, Michael S.

AU - Lenz, Thomas L.

AU - Haddad, Ann Ryan

AU - Jensen, Gail

AU - Elsasser, Gary

PY - 2008/9/14

Y1 - 2008/9/14

N2 - Purpose: Our purpose was to test a communication tool used in a multidisciplinary setting to more effectively achieve the recommended goals for glucose, blood pressure, lipids, and prophylactic aspirin use in a Native American population with type 2 diabetes. Methods: One hundred randomly selected patients were included in this observational, pre-intervention, post-intervention study design. The team began with a chart audit documenting hemoglobin A1c (Hgb A1c), blood pressure, cholesterol levels, and aspirin use. The intervention included the development of a one page form used to prompt providers to intensify therapy when the patient was not meeting evidence-based goals. The audit was repeated one year later. Results: Analysis of 74 patients completing the study showed a decrease in Hgb A1C from 8.812% pre-intervention to a mean 8.214% post-intervention (p < 0.007). At the time of pre-intervention audit, patients were already at target for blood pressure and no significant further decrease was found. Measures of total cholesterol, triglycerides, and aspirin use showed improvement, but statistical significance was not met. Conclusion: The one-page multidisciplinary tool used to intensify therapy significantly improved glucose control. More consistent interaction of the multidisciplinary team is necessary to reach other desired goals.

AB - Purpose: Our purpose was to test a communication tool used in a multidisciplinary setting to more effectively achieve the recommended goals for glucose, blood pressure, lipids, and prophylactic aspirin use in a Native American population with type 2 diabetes. Methods: One hundred randomly selected patients were included in this observational, pre-intervention, post-intervention study design. The team began with a chart audit documenting hemoglobin A1c (Hgb A1c), blood pressure, cholesterol levels, and aspirin use. The intervention included the development of a one page form used to prompt providers to intensify therapy when the patient was not meeting evidence-based goals. The audit was repeated one year later. Results: Analysis of 74 patients completing the study showed a decrease in Hgb A1C from 8.812% pre-intervention to a mean 8.214% post-intervention (p < 0.007). At the time of pre-intervention audit, patients were already at target for blood pressure and no significant further decrease was found. Measures of total cholesterol, triglycerides, and aspirin use showed improvement, but statistical significance was not met. Conclusion: The one-page multidisciplinary tool used to intensify therapy significantly improved glucose control. More consistent interaction of the multidisciplinary team is necessary to reach other desired goals.

UR - http://www.scopus.com/inward/record.url?scp=84990349008&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84990349008&partnerID=8YFLogxK

U2 - 10.2147/JMDH.S4005

DO - 10.2147/JMDH.S4005

M3 - Article

VL - 1

SP - 73

EP - 77

JO - Journal of Multidisciplinary Healthcare

JF - Journal of Multidisciplinary Healthcare

SN - 1178-2390

ER -