期刊
DIABETES CARE
卷 33, 期 7, 页码 1452-1453出版社
AMER DIABETES ASSOC
DOI: 10.2337/dc09-2332
关键词
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资金
- American Diabetes Association [01-05-JF-40]
- Harvard Pilgrim Health Care Institute
- Agency for Healthcare Research and Quality [U18HS016970, U18HS010391]
- National Institute of Diabetes and Digestive and Kidney Diseases [K24 DK080140]
OBJECTIVE - The study's objective was to assess the effects of automated telephone out-reach with speech recognition (ATO-SR) on diabetes-related testing. RESEARCH DESIGN AND METHODS - We identified 1,200 health plan members who were overdue for diabetes-related testing and randomly allocated 600 to ATO-SR and 600 to usual care (no intervention). The intervention included three interactive calls encouraging recommended testing. The primary outcome was retinopathy testing, since this was the health plan's principal goal. Tests for glycemia, hyperlipidemia, and nephropathy were secondary outcomes. RESULTS - In total, 232 participants (39%) verbally responded to the calls. There was no difference between the intervention and the usual care groups in the primary outcome (adjusted hazard ratio 0.93 [95% CI 0.71-1.221) and no effect of the intervention on any of the secondary outcomes. CONCLUSIONS - Fewer than 40% of the patients randomized to ATO-SR interacted verbally with the system. The intervention had no effect on the study's outcomes.
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