Evidence map›Paper›PMID 26542141›Full record

ArticlePreventing chronic disease2015

Increasing Referrals to a YMCA-Based Diabetes Prevention Program: Effects of Electronic Referral System Modification and Provider Education in Federally Qualified Health Centers.

Earle C Chambers, Judith Wylie-Rosett, Arthur E Blank, Judy Ouziel, Nicole Hollingsworth, Rachael W Riley, Peter A Selwyn

Abstract read
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  17. Improving Referrals to Diabetes Self-Management Education in Medically Underserved Adults.Diabetes spectrum : a publication of the American Diabetes Association · 2021
    Article
  18. Article
  19. Article
  20. Electronic referral systems in health care: a scoping review.ClinicoEconomics and outcomes research : CEOR · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Earle C Chambers1300 Morris Park Ave, Block 408, Bronx, NY 10461. Telephone: 718-430-3057. Email: earle.chambers@einstein.yu.edu.
Judith Wylie-RosettDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York.
Arthur E BlankDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York.
Judy OuzielYMCA Diabetes Prevention Program, Activate America, New York, New York.
Nicole HollingsworthOffice Of Community and Population Health, Montefiore Medical Center, Bronx, New York.
Rachael W RileyOffice Of Community and Population Health, Montefiore Medical Center, Bronx, New York.
Peter A SelwynDepartment of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York.

Funding

Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI PESSIN, JEFFREY E. · 1986 to 2014
$29.8M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Urban public housing, neighborhood, and cardiovascular disease in primary careK01HL125466 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CHAMBERS, EARLE C · 2015 to 2019
$775k
NCATS NIH HHS UL1 TR001073NHLBI NIH HHS K01 HL125466NHLBI NIH HHS K01HL125466NIDDK NIH HHS 5P60DK20541NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P60 DK020541
6 · The paper itself

Abstract

introductionThe Diabetes Prevention Program has been translated to community settings with varying success. Although primary care referrals are used for identifying and enrolling eligible patients in the Diabetes Prevention Program, little is known about the effects of strategies to facilitate and sustain eligible patient referrals using electronic health record systems.

methodsTo facilitate and sustain patient referrals, a modification to the electronic health record system was made and combined with provider education in 6 federally qualified health centers in the Bronx, New York. Referral data from April 2012 through November 2014 were analyzed using segmented regression analysis.

resultsPatient referrals increased significantly after the modification of the electronic health record system and implementation of the provider education intervention. Before the electronic system modification, 0 to 2 patients were referred per month. During the following year (September 2013 through August 2014), which included the provider education intervention, referrals increased to 1 to 9 per month and continued to increase to 5 to 11 per month from September through November 2014.

conclusionsModification of an electronic health record system coupled with a provider education intervention shows promise as a strategy to identify and refer eligible patients to community-based Diabetes Prevention Programs. Further refinement of the electronic system for facilitating referrals and follow-up of eligible patients should be explored.

Indexed as

Fitness CentersCooperative BehaviorDiabetes MellitusElectronic Health RecordsFemaleHealth PersonnelHumansLinear ModelsMaleNew YorkPatient CareReferral and Consultation

Identifiers

PMID26542141
PMCPMC4651145

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.