%0 Journal Article
%T Automated Telephone Calls in the Follow-Up of Self-Care in Outpatients with Type 2 Diabetes: A Feasibility Study
%A Esther C. Gallegos-Cabriales
%A Juana Mercedes Guti¨Śrrez-Valverde
%A Bertha Cecilia Salazar-Gonz¨˘lez
%A Antonia M. Villarruel
%A Rosa Alicia Veloz-Garza
%A Nicolle Marinec
%A John D. Piette
%J Health
%P 1529-1541
%@ 1949-5005
%D 2017
%I Scientific Research Publishing
%R 10.4236/health.2017.911113
%X Aims and objectives: To test an automated telephone service as a follow-up and support strategy for self-care in a population of adult Mexican patients with type 2 diabetes. Methods: The design was a two-group comparative design, with pre and post-intervention measurements. Patients were assigned into intervention (n = 31), or comparison (n = 33) groups. Over 12 weeks, each participant in the intervention group received automated phone calls with instructions to facilitate accomplishment of the treatment, and self-care activities. Two focus groups helped to appreciate patientsĄŻ follow-up experience. Randomized grouping was performed by selecting numbers from an urn; the final sample comprised 31 (48%) patients in the intervention group, and 33 (52%) in the comparison group; these procedures were performed by the case nurse management. The study was approved by the Ethics Committee of the Autonomous University of Nuevo Leon and the University of Michigan; all of the participants signed informed consent. Results: Of the 372 programmed phone calls made to the participants, 234 were completed, representing a 62.9% response rate. Phone calls may be associated to a 0.82% decrease in the HbA1c values and to lower depression scores. HbA1c measurements decreased 0.82% (M = 7.41 - 6.69; t = 25; 4.11; p = ?0.001) from the baseline values over the 12-week study in the intervention group and 0.49% (M = 7.24 - 6.75; t = 26; 2.11; p = 0.044) in the comparison group. Variables related to medication intake did not exhibit differences between the baseline and second measurements, except with respect to the scale of depression.
%K Diabetes
%K Self-Care
%K Technology
%K Information Technology
%K Intervention
%K Chronic Illness
%K Counseling
%K Self-Management
%K Telenursing
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=79936