![]() ![]() ![]() Main Outcomes and Measures Intent-to-treat analyses were conducted according to baseline dyad assignment. Standard-care dyads received general diabetes education materials only. Interventions Patient-supporter dyads received a health coaching session focused on dyadic information sharing and positive support techniques, then 12 months of biweekly automated monitoring telephone calls to prompt dyadic actions to meet diabetes goals, coaching calls to help dyads prepare for primary care visits, and after-visit summaries. Investigators and analysts were blinded to group assignment. ![]() Of 1119 recruited, 239 patient-supporter dyads were enrolled between November 2016 and May 2018, randomized 1:1 to receive the CO-IMPACT intervention or standard care, and followed up for 12 to 15 months. All patient participants were adults aged 30 to 70 years with diabetes who had hemoglobin A 1c (HbA 1c) levels greater than 8% of total hemoglobin (to convert to proportion of total hemoglobin, multiply by 0.01) or systolic blood pressure (SBP) higher than 150 mm Hg each participating patient had an adult supporter. Objective To determine if the Caring Others Increasing Engagement in Patient Aligned Care Teams (CO-IMPACT) intervention improves patient activation, diabetes management, and outcomes compared with standard care.ĭesign, Setting, and Participants This randomized clinical trial was conducted from November 2016 to August 2019 among participants recruited from 2 Veterans Health Administration primary care sites. More effective support from family and friends (“supporters”) may improve diabetes management and outcomes. Importance More than 75% of US adults with diabetes do not meet treatment goals. Shared Decision Making and Communication.Scientific Discovery and the Future of Medicine.Health Care Economics, Insurance, Payment.Clinical Implications of Basic Neuroscience.Challenges in Clinical Electrocardiography. ![]()
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