Evidence map›Paper›PMID 33887953›Full record

Observational studyPsychiatric services (Washington, D.C.)2021

Registry-Managed Care Coordination and Education for Patients With Co-occurring Diabetes and Serious Mental Illness.

Judith A Cook, Jessica A Jonikas, Pamela J Steigman, Crystal M Glover, Jane K Burke-Miller, Joni Weidenaar, Sheila O'Neill, Debbie Pavick, Asma Jami, Charles J Santos

Abstract readObservational Study
In one paragraph

Observational study in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Judith A CookCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Jessica A JonikasCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Pamela J SteigmanCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Crystal M GloverCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Jane K Burke-MillerCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Joni WeidenaarCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Sheila O'NeillCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Debbie PavickCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Asma JamiCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).
Charles J SantosCenter on Mental Health Services Research and Policy, University of Illinois at Chicago, Chicago (Cook, Jonikas, Steigman, Burke-Miller, Weidenaar); Department of Psychiatry and Behavioral Sciences, Rush Medical College and Rush Alzheimer's Disease Center, Rush University Medical Center, Chicago (Glover); Thresholds, Chicago (O'Neill, Pavick); Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical Center-Fairview, Minneapolis (Jami); Department of Internal Medicine and Department of Psychiatry, Tulane University School of Medicine, New Orleans (Santos).

Funding

Rush Alzheimer's Disease Research CenterP30AG072975 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Lisa L Barnes, Julie A. Schneider · 2021 to 2026
$24.7M
ACL HHS 90RT5012NIA NIH HHS P30 AG072975
6 · The paper itself

Abstract

objectiveLongitudinal changes in health outcomes of patients with serious mental illness and co-occurring diabetes were examined after introduction of an intervention involving electronic disease management, care coordination, and personalized patient education.

methodsThis observational cohort study included 179 patients with serious mental illness and diabetes mellitus type 2 at a behavioral health home in Chicago. The intervention employed a care coordinator who used a diabetes registry to integrate services; patients also received personalized diabetes self-management education. Outcomes included glucose, lipid, and blood pressure levels as assessed by glycosylated hemoglobin, low-density lipoprotein, triglycerides, and systolic/diastolic values from electronic medical records and completion of specialty visits confirmed with optometrists and podiatrists. Interrupted time-series segmented random-effects regression models tested for level changes in the eight study quarters following intervention implementation compared with eight preimplementation study quarters, controlling for clinic site and preimplementation secular trends.

resultsSignificant declines were found in levels of glucose, lipids, and blood pressure postimplementation. In addition, completed optometry referrals increased by 44% and completed podiatry referrals increased by 60%.

conclusionsSignificant improvement in medical outcomes was found among patients of a behavioral health home who had comorbid diabetes and mental illness after introduction of a multicomponent care coordination intervention, regardless of which clinic they attended.

Indexed as

Diabetes Mellitus, Type 2Mental DisordersGlycated HemoglobinHumansManaged Care ProgramsRegistriesGlycated HemoglobinCare coordinationDiabetes careMedical morbidity and mortality in psychiatric patientsPatient educationPrimary care

Identifiers

PMID33887953
PMCPMC10443902

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.