1. The Impact of Integrated Behavioral Healthcare on Glycemic Control
- Author
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Kristin L. MacGregor, Alan G. Derr, Samantha A Barry-Menkhaus, Kelly S. DeMartini, and Michael J. Thompson
- Subjects
Type 1 diabetes ,medicine.medical_specialty ,business.industry ,Type 2 diabetes ,medicine.disease ,Clinical Psychology ,Health psychology ,Diabetes mellitus ,Physical therapy ,Mixed effects ,Medicine ,Behavioral healthcare ,business ,Psychosocial ,Glycemic - 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 1% in HbA1c over the following year. These results suggest that IBH significantly improves patients’ metabolic status. Next steps for IBH research are offered.
- Published
- 2021