Table 2.
Baseline Practice and Patient Characteristics
| Practice Characteristics | Self Management Support Education (SMS-ED) N=11 |
Connection to Health (CTH) N=12 |
Connection to Health + Practice Facilitation (CTH+PF) N=13 |
||
|---|---|---|---|---|---|
| Practice Type Federally Qualified Health Center, n (%) | 9 (81.8%) | 9 (75%) | 9 (69.2%) | ||
| Number of clinicians, mean (sd) | 7.4 (3.4) | 7.3 (4.1) | 6.1 (4.3) | ||
| % Medicaid, mean (sd) | 41.5 (21.5) | 35.1 (22.0) | 38.7 (18.4) | ||
| % Uninsured, mean (sd) | 27.3 (17.9 | 28.2 (19.1) | 25.6 (21.2) | ||
| % Hemoglobin A1c (HbA1c) > 9, mean (sd) | 28.4 (11.1) | 22.9 (9.1) | 28.5 (5.6) | ||
| Number of diabetic patients, mean (sd) | 589.8 (392.4 | 541.3 (385.2) | 408.9 (309.0) | ||
|
PCMH Status
Some implementation, but not recognition, n (%) PCMH recognition, n (%) |
1 (9.1%) 8 (72.7%) |
3 (25.0%) 8 (66.7%) |
4 (30.8%) 8 (61.5%) |
||
| Patient Characteristics (From Chart Audits) | |||||
| SMS ED Arm: Intent to Treat and Per Protocol Samples N=312 |
CTH Arm: Intent to Treat Sample N=360 |
CTH Arm:
CTH Per Protocol Sample N=40 |
CTH+PF Arm: Intent to Treat Sample N=385 |
CTH+PF Arm:
CTH Per Protocol Sample N=127 |
|
| Variable | Mean (sd) or % | Mean (sd) or % | Mean (sd) or % | Mean (sd) or % | Mean (sd) or % |
| Gender, % female | 54.5% | 60.6% | 62.5% | 57.4% | 60.6% |
| Age (years) | 58.3 (12.8) | 60.0 (12.6) | 58.3 (12.5) | 60.8 (11.5) | 58.3 (11.6) |
| Number of medical co-morbidities | 1.8 (1.1) | 1.7 (1.0) | 1.4 (.9) | 1.8 (1.0) | 1.9 (1.0) |
| Comorbid conditions Hypertension Pulmonary Diabetic nephropathy Renal disease Cardiovascular disease Depression |
73.4% 13.1% 11.5% 10.9% 7.4% 18.9% |
66.1% 10.8% 12.8% 8.1% 6.9% 20.0% |
65.0% 7.5% 5.0% 5.0% 0.0% 17.5% |
70.1% 15.3% 10.7% 3.6% 10.9% 19.2% |
72.4% 15.8% 10.2% 11.8% 11.8% 23.6% |
| Current smoker | 19.6% | 14.4% | 10.0% | 15.1% | 13.4% |
| Baseline HbA1c | 8.1 (2.2) | 7.9 (2.0) | 7.9 (2.0) | 7.8 (1.9) | 8.5 (1.9) |
| Baseline Body Mass Index | 32.6 (7.6) | 32.1 (7.3) | 32.4 (5.3) | 33.3 (7.2) | 34.7 (7.9) |
| Baseline systolic blood pressure (BP) | 129.7 (16.1) | 130.9 (16.9) | 130.9 (17.6) | 128.7 (13.5) | 129.6 (16.4) |
| Baseline diastolic BP | 76.6 (9.0) | 77.6 (9.3) | 78.2 (7.8) | 76.6 (8.5) | 78.9 (9.7) |
| Medications Lipid lowering med Anti-hypertensive Anti-depressant Oral diabetic med Insulin |
61.4% 75.2% 21.6% 74.3% 34.3% |
65.2% 74.4% 34.1% 81.1% 33.6% |
77.5% 77.5% 22.5% 85.0% 25.0% |
68.5% 78.9% 36.5% 81.3% 28.6% |
71.7% 78.0% 22.8% 72.2% 41.7% |
1
SMS-ED = Self-Management Support Education, CTH = Connection to Health, CTH+PF = Connection to Health with Practice Facilitation