© 2000 Evidence-Based Nursing
Automated telephone assessment and education with nurse follow up improved self care and glycaemic control in patients with diabetes
Piette JD, Weinberger M, McPhee SJ, et al. Do automated calls with nurse follow-up improve self-care and glycemic control among vulnerable patients with diabetes? Am J Med 2000 Jan;108:20-7.[Medline]
QUESTION: Do automated calls with nurse follow up improve self care and glycaemic control in patients with diabetes?
Randomised {allocation concealed}*, unblinded, controlled trial with 12 months of follow up.
2 general medicine clinics in California, USA.
280 English or Spanish speaking adults aged 
75 years who had had diabetes for 
6 months and were using hypoglycaemic medication. Exclusion criteria were psychotic disorder, disabling sensory impairment, life expectancy <12 months, intention to discontinue receiving services from the clinic within 12 months, or no access to a touchtone telephone. 248 (89%) patients (mean age 55 y, 59% women, 50% hispanic, 29% white) had complete follow up.
Patients were allocated to receive the intervention (n=137) or usual care (n=143). The intervention consisted of usual care plus biweekly automated telephone assessment and self care education calls with telephone follow up by a nurse educator. The automated calls, which were available in Spanish and English, lasted between 5 and 8 minutes, and included health tips; an education module focusing on diet
Assistant Professor, School of Nursing University of Windsor Windsor, Ontario, Canada
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