Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN)
In: Handley, MA; Quan, J; Chao, MT; Ratanawongsa, N; Sarkar, U; Emmons-Bell, S; et al.(2017). Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN). JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 30(5), 624-631. doi: 10.3122/jabfm.2017.05.170030. UCSF: Retrieved from: http://www.escholarship.org/uc/item/6hm432bs Journal of the American Board of Family Medicine : JABFM, vol 30, iss 5; (2017)
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Author(s): Handley, Margaret A; Quan, Judy; Chao, Maria T; Ratanawongsa, Neda; Sarkar, Urmimala; Emmons-Bell, Sophia; Schillinger, Dean | Abstract: PurposeTo describe use of complementary health approaches (CHAs) among patients with type 2 diabetes, and independent associations between CHA use and Hemoglobin A1c (A1C) and lower-density lipoprotein (LDL) cholesterol.MethodsParticipants were enrolled onto the SMARTSteps Program, a diabetes self-management support program conducted between 2009 and 2013 in San Francisco. At the 6-month interview, CHA use in the prior 30 days was estimated using a 12-item validated instrument. Demographic and diabetes-related measures A1C were assessed at baseline and 6-month followup. AIC and LDL values were ascertained from chart review over the study period. Medication adherence was measured using pharmacy claims data at 6 and 12 months.ResultsPatients (n = 278) completed 6-month interviews: 74% were women and 71.9% were non-English speaking. Any CHA use was reported by 51.4% overall. CHA modalities included vitamins/nutritional supplements (25.9%), spirituality/prayer (21.2%), natural remedies/herbs (24.5%), massage/acupressure (11.5%), and meditation/yoga/tai chi (10.4%). CHA costs per month were $43.86 (SD = 118.08). Nearly one third reported CHA (30.0%) specifically for their type 2 diabetes. In regression models, elevated A1C (g8.0%) was not significantly associated with overall CHA use (odds ratio [OR] = 1.78; 95% confidence interval [CI], 0.7 to 4.52) whereas elevated LDL was (OR = 3.93; 95% CI, 1.57 to 9.81). With medication adherence added in exploratory analysis, these findings were not significant.ConclusionsCHA use is common among patients with type 2 diabetes and may be associated with poor cardiometabolic control and medication adherence.
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Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN)
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Autor/in / Beteiligte Person: | Sarkar, Urmimala ; Chao, Maria T. ; Handley, Margaret A. ; Ratanawongsa, Neda ; Quan, Judy ; Emmons-Bell, Sophia ; Schillinger, Dean |
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Quelle: | Handley, MA; Quan, J; Chao, MT; Ratanawongsa, N; Sarkar, U; Emmons-Bell, S; et al.(2017). Use of Complementary Health Approaches Among Diverse Primary Care Patients with Type 2 Diabetes and Association with Cardiometabolic Outcomes: From the SF Bay Collaborative Research Network (SF Bay CRN). JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 30(5), 624-631. doi: 10.3122/jabfm.2017.05.170030. UCSF: Retrieved from: http://www.escholarship.org/uc/item/6hm432bs Journal of the American Board of Family Medicine : JABFM, vol 30, iss 5; (2017) |
Veröffentlichung: | eScholarship, University of California, 2017 |
Medientyp: | unknown |
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