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Journal of Clinical Psychology in Medical Settings

Erschienen in:

26.08.2021

The Impact of Integrated Behavioral Healthcare on Glycemic Control

verfasst von: Kristin L. MacGregor, Kelly S. DeMartini, Samantha A. Barry-Menkhaus, Alan G. Derr, Michael J. Thompson

Erschienen in: Journal of Clinical Psychology in Medical Settings | Ausgabe 3/2022

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Abstract

Integrated behavioral healthcare (IBH) is the “standard of care” to address psychosocial factors impacting diabetes outcomes; it is not standard in practice. This longitudinal, retrospective, chart-review examines IBH impact on glycemic control in an adult diabetes clinic. Adults (n = 374) with ≥ 1 behavioral health encounter, ≥ 2 hemoglobin A1c (HbA1c) values, and HbA1c value > 8% at initial IBH visit were included. Mixed effects linear piecewise models examined differences in slope trajectories for 365 days pre- and post-IBH intervention. Pre-intervention slope was not significant (z = − 1.09, p = 0.28). The post-intervention slope was significant (z = − 6.44, p < 0.001), indicating a significant linear decrease in HbA1c values. Results demonstrated that prior to engaging with behavioral health, there was no change in HbA1c. After initial IBH visit, there was a predicted reduction of > 1% in HbA1c over the following year. These results suggest that IBH significantly improves patients’ metabolic status. Next steps for IBH research are offered.

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Titel: The Impact of Integrated Behavioral Healthcare on Glycemic Control
verfasst von: Kristin L. MacGregor
Kelly S. DeMartini
Samantha A. Barry-Menkhaus
Alan G. Derr
Michael J. Thompson
Publikationsdatum: 26.08.2021
Verlag: Springer US
Erschienen in: Journal of Clinical Psychology in Medical Settings / Ausgabe 3/2022
Print ISSN: 1068-9583
Elektronische ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-021-09817-w

Springer Medizin

Abstract

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