Couple Phone Intervention Ups Glycemic Control for High A1C

Share this content:
Couple Phone Intervention Ups Glycemic Control for High A1C
Couple Phone Intervention Ups Glycemic Control for High A1C

MONDAY, Aug. 8, 2016 (HealthDay News) -- A collaborative couples telephonic intervention is associated with significant improvement in hemoglobin A1c (A1C) levels, according to a study published online July in Diabetes Care.

Paula M. Trief, Ph.D., from State University of New York Upstate Medical University in Syracuse, and colleagues conducted a randomized trial involving 280 couples, among whom one partner had type 2 diabetes and A1C level of ≥7.5 percent. Participants were randomized to couples calls (CC; 104 participants), individual calls (IC, 94 participants), and diabetes education (DE, 82 participants). All arms had two self-management education calls; CC and IC had 10 extra behavior change calls. Patients were assessed at four, eight, and 12 months.

Overall, the researchers identified significant reductions in A1C for all interventions, with no differences between arms (12 months: CC −0.47 percent; IC −0.52 percent; and DE −0.57 percent). In within-arm analyses stratified by baseline A1C tertiles, the lowest tertile for A1C (7.5 to 8.2 percent) had no change from baseline; the middle tertile (8.3 to 9.2 percent) had significantly lower A1C levels only with CC; and the highest tertile (9.3 percent or greater) had significant improvement for all interventions. CC correlated with significant improvement in body mass index, and CC and DE resulted in reduced waist circumference.

"In adults with poorly controlled type 2 diabetes, a collaborative couples intervention resulted in significant, lasting improvement in A1C levels, obesity measures, and some psychosocial outcomes," the authors write.

Several authors disclosed financial ties to pharmaceutical companies, including Roche, which provided some material support.

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease


Sign up for myCME e-newsletters


More in Home

24-Hour Primary Care Clinics Would Improve Continuity of Care

24-Hour Primary Care Clinics Would Improve Continuity of ...

Model involving multiple doctors working shifts in their own clinic offers many benefits

Repeat BP Reading Needed in Children With Initial High Result

Repeat BP Reading Needed in Children With Initial ...

Based on initial reading, more than half of children would have incorrect classification

Brochure Can Improve Opioid Disposal Rates After Surgery

Brochure Can Improve Opioid Disposal Rates After Surgery

Patients more likely to dispose of unused opioids after getting information and recommendations

is free, fast, and customized just for you!

Already a member?

Sign In Now »