871-P: The Impact of Integrated Behavioral Health in a Diabetes Center

• DOI: 10.2337/db19-871-p
• Publication Date: 2019-06-05T03:35:40Z
• Authors: KRISTIN L. MACGREGOR; KELLY S. DEMARTINI; SAMANTHA A. BARRY; ALAN G. DERR; MICHAEL J. THOMPSON
• Keywords: Dieticians; Medical record; Diabetes management

Integrated behavioral healthcare (IBH) is recommended as the gold standard to address psychosocial factors in diabetes management. While it well documented that interventions improve outcomes, there a dearth of literature on benefits integrating health providers (BHP) into care. IBH involves collaborating with physicians, nurses, educators, and dieticians formulate comprehensive treatment plans, has potential have substantial impact management beyond any standalone intervention. The purpose this study was examine HbA1c levels patients seen by BHPs. Data were drawn from electronic medical records included demographic characteristics, dates each encounter, A1c’s beginning one year before first BHP visit through post initial visit. Patients baseline A1c over 8% who had at least clinic large academic center (n = 374). Piecewise mixed effects growth mixture models run assess whether slope different between two time periods: pre-initial post-initial Random intercepts random slopes used best model variability encounter frequencies among patients. overall significant (Wald χ2 48.19, p<0.001). for period not (p=0.28), indicating no evidence linear decrease or increase values. after (p<0.001) negative (z=-6.45), values showed significant, an These results provide early encounters are associated statistically reductions illustrating benefit Disclosure K.L. MacGregor: None. K.S. DeMartini: S.A. Barry: A.G. Derr: M.J. Thompson: