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Automated telephone assessment and education with nurse follow up improved self care and glycaemic control in patients with diabetes

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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 …

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  • Sources of funding: American Diabetes Association and Department of Veterans Affairs.

  • For correspondence: Dr J D Piette, Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park Division (152), 795 Willow Road, Menlo Park, CA 94025, USA. Fax +1 650 617 2736.

  • * Information provided by author.