RT Journal Article
SR Electronic
T1 Participation in the Journey to Life Conversation Map Improves Control of Hypertension, Diabetes, and Hypercholesterolemia
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 767
OP 771
DO 10.3122/jabfm.2015.06.140142
VO 28
IS 6
A1 Paul Crawford
A1 Scott Wiltz
YR 2015
UL http://www.jabfm.org/content/28/6/767.abstract
AB Background: The Diabetes Conversation Map program includes 4 “board game–like” education tools. We describe how the Journey to Life Conversation Map Education Class improves diabetes performance measures of hemoglobin A1c (HbA1c), low-density lipoprotein (LDL), and blood pressure (BP).Methods: Retrospective case–control study in a military family medicine clinic from January 2007 to January 2010. We included 202 patients who completed ≥1 conversation map class and a comparison group of 209 patients who did not attend.Results: Attendees started with HbA1c 8.25 (95% confidence interval [CI], 7.86–8.64) and decreased to 6.96 (95% CI, 6.69–7.23). Patients in the comparison group started at 8.57 (95% CI, 8.18–8.95) and decreased to 8.27 (95% CI, 8.01–8.54) (P < .001). Attendees began with LDL of 111 mg/dL (95% CI, 103–119) and decreased to 94 mg/dL (95% CI, 81–106). Patients in the comparison group started at 89 mg/dL (95% CI, 81–98) and increased to 98 mg/dL (95% CI, 85–110) (P < .007). Systolic BP decreased 5.4 mmHg among attendees versus 0.8 mmHg among those in the comparison group (P = .014), whereas diastolic BP was unchanged (P = .110).Conclusion: The Journey to Life Healthy Interactions Conversation Map Education Class for diabetes improves diabetes performance measures.