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Evidence-Based Nursing 2009;12:89; doi:10.1136/ebn.12.3.89
Copyright © 2009 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.

QUALITY IMPROVEMENT

A multicomponent intervention improved diabetes care in primary care practices

The first 150 words of the full text of this article appear below.

QUESTION

Does a multicomponent intervention improve diabetes care in primary care practices?

METHODS

Design: cluster-randomised controlled trial (TRANSLATE). ClinicalTrials.gov NCT00108927 [ClinicalTrials.gov] .

Allocation: concealed.

Blinding: unblinded.

Follow-up period: 1 year.

Setting: 24 family medicine or general internal medicine primary care practices (238 physicians) in Minnesota, USA. Practices were excluded if they already had electronic medical records or an electronic diabetes registry, or had recently participated in a diabetes-specific quality improvement programme.

Patients: 8405 community-dwelling patients 18–89 years of age (mean age 63 y, 50% men) who had type 2 diabetes that was managed or co-managed by a physician in 1 of the primary care practices.

Intervention: TRANSLATE intervention (12 practices, 4587 patients) or usual quality improvement (12 practices, 3818 patients). Components of the TRANSLATE intervention were Target high-risk patients; create an electronic diabetes Registry; set up Administration to oversee changes; Notify patients of targets and appointments and remind providers . . . [Full text of this article]

Robin Whittemore

Yale University, New Haven, Connecticut, USA


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