A brief, regular, proactive telephone "coaching" intervention for diabetes: rationale, description, and preliminary results.

Citation data:

Journal of diabetes and its complications, ISSN: 1056-8727, Vol: 18, Issue: 2, Page: 113-8

Publication Year:
2004
Usage 150
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Citations 38
Citation Indexes 38
Repository URL:
https://scholarcommons.usf.edu/psy_facpub/896
PMID:
15120706
DOI:
10.1016/s1056-8727(02)00254-4
Author(s):
Sacco, William P.; Morrison, Anthony D.; Malone, John I.
Publisher(s):
Elsevier BV
Tags:
Medicine; Biochemistry, Genetics and Molecular Biology; Diabetes; Adherence; Telephone intervention; Psychology
article description
Telephone-delivered interventions (TDIs) represent a potentially cost-effective method to increase medical adherence. TDIs for diabetes patients have typically been delivered by nurses or computerized telephone messaging. Psychology undergraduates, however, are less costly than nurses, have a strong background in behavioral science, and provide the personal relationship missing with computerized contact. This paper presents the rationale for and description of a brief, regular, proactive telephone intervention designed to be delivered by psychology undergraduates (i.e., paraprofessionals). "Coaches" administer a 15-min telephone intervention weekly for 3 months and biweekly for 3 additional months. Guided by a semistructured protocol that focuses on behavioral goals, coaches provides support, collaborative problem-solving, and apply basic cognitive-behavioral techniques. Results from a pilot study on type 1 diabetes patients are presented. This preliminary evidence suggests that the program is feasible, acceptable to a large majority of patients, and effective in reducing HbA1c levels.