Relationship Between Patient-Health Coach Interactions and Changes in Markers of Glucose Homeostasis
DOI
https://doi.org/10.25772/VERD-9R08
Defense Date
2018
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Health Related Sciences
First Advisor
Dr. William J. Korzun
Second Advisor
Sr. Teresa S. Nadder
Third Advisor
Dr. Melissa Jamerson
Fourth Advisor
Dr. John H. Contois
Fifth Advisor
Dr. Thomas Dayspring
Abstract
Diabetes and insulin resistance are on the rise in the United States. Early detection and deployment of therapies has allowed for the reversal of pancreatic beta cell damage. Unfortunately, not all providers can offer the support to facilitating the required life style modifications. The introduction of clinical health consultants (CHC) as supplemental care has improved patient health for a variety of chronic diseases. Missing in the literature are studies investigating the correlation between the number of CHC interactions and improvement in biomarkers.
The study utilized a non-experimental, retrospective study design to evaluate the relationship between the use between the use of CHCs and the number of CHC interactions, and the mean changes in glucose, hemoglobin A1c, insulin, proinsulin, C-peptide, and 1,5-anhydroglucitol, over a one-year period for patients presented with the opportunity to participate in CHC interactions. The subjects’ follow-up results were compared to their initial results for each group using the ANCOVA and one-way t-test.
A statistically significant difference was detected between the mean change in BMI and the use of CHCs (p
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
12-14-2018