Wednesday, May 8, 2013

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Pharmacist-led telehealth unsoundness management in patients with diabetes and embossment. Junior Investigator: Lisa B. Cohen senior Investigator: Paul A. Pirragilia, M.D. analysis Rationale: There is a high prevalence of major(ip) depression and significant depressive symptoms in patients with diabetes mellitus (DM). Co-morbid depression in diabetes results in decreased adherence to diabetes self- circumspection and attenuates the put in of medical interventions. A pharmacistled diabetes movement management program at the Providence VA Medical centre has improved hold dearment adherence, glycemic give and cardiac find drop-off in patients with successive diabetes and good-humored illness. However, the frequent clinic chit-chats that are unavoidable to control cardiac danger factors are cumbersome for patients and expensive to the institution. We have other anterior data that show that deject patients are responsive to a telehealth disease management program, plainly whether this strategy could be give by clinical pharmacists to treat patients with diabetes and depression instead of the measurement individual visits has not been tested.
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purpose: To determine whether a pharmacist-led telehealth disease management program is brilliant to usual care in improving diabetes medication interposition adherence in patients with ensuant diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients leave alone be randomly assigned to digress out the pharmacist-led telehealth program (experimental arm), which leave behind include an initial visit to meditate about the technology, periodic monitoring of telehealth data, followed by knell calls when alerted by the telehealth system for 6 months. Another 40 patients go away be allocated to usual care (control arm). The primary outcome will be the change in diabetes and depression medication...If you want to enchant a full essay, companionship it on our website: Ordercustompaper.com

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