Serveur d'exploration sur l'Université de Trèves

Attention, ce site est en cours de développement !
Attention, site généré par des moyens informatiques à partir de corpus bruts.
Les informations ne sont donc pas validées.

Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany

Identifieur interne : 001958 ( Main/Merge ); précédent : 001957; suivant : 001959

Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany

Auteurs : Hartmut Schachinger [Allemagne, Suisse] ; Karin Hegar [Suisse] ; Norbert Hermanns [Allemagne] ; Madeleine Straumann [Suisse] ; Ulrich Keller [Suisse] ; Gabriele Fehm-Wolfsdorf [Allemagne] ; Willi Berger [Suisse] ; Daniel Cox [États-Unis]

Source :

RBID : Pascal:07-0019481

Descripteurs français

English descriptors

Abstract

Although both diabetes and the efficacy of medical management are international issues, psycho-educational interventions might be culturally bound. Blood Glucose Awareness Training (BGAT) is a psycho-educational program for patients with type 1 diabetes mellitus. It is focused on improving recognition and management of extreme blood glucose levels, and is the best documented American psycho-educational program for this purpose. A randomized controlled clinical trial of BGAT's long-term benefits in a non-American setting has been lacking. One hundred and eleven adults with type 1 diabetes mellitus from Switzerland and Germany participated. After a 6 months baseline assessment, subjects were randomly assigned to receive either 2 months of BGAT (n = 56) or a physician-guided self-help control intervention (n=55). BGAT improved recognition of low (p = 0.008), high (p = .03), and overall blood glucose (p = 0.001), and reduced frequency of severe hypoglycemia (p = 0.04), without compromising metabolic control. BGAT reduced both the external locus of control (p < 0.02) and fear of hypoglycemia (p < 0.02). BGAT was efficacious in reducing adverse clinical events and achieving clinically desirable goals in a European, as well as American setting.

Links toward previous steps (curation, corpus...)


Links to Exploration step

Pascal:07-0019481

Le document en format XML

<record>
<TEI>
<teiHeader>
<fileDesc>
<titleStmt>
<title xml:lang="en" level="a">Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany</title>
<author>
<name sortKey="Schachinger, Hartmut" sort="Schachinger, Hartmut" uniqKey="Schachinger H" first="Hartmut" last="Schachinger">Hartmut Schachinger</name>
<affiliation wicri:level="4">
<inist:fA14 i1="01">
<s1>Department of Clinical Physiology, FB I-Psychobiology, University of Trier</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName>
<settlement type="city">Trèves (Allemagne)</settlement>
<region type="land" nuts="1">Rhénanie-Palatinat</region>
</placeName>
<orgName type="university">Université de Trèves</orgName>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Psychosomatic Medicine, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Psychosomatic Medicine, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Diabetes Center</s1>
<s2>Bad Mergentheim</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Bad Mergentheim</wicri:noRegion>
<wicri:noRegion>Diabetes Center</wicri:noRegion>
<wicri:noRegion>Diabetes Center</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Straumann, Madeleine" sort="Straumann, Madeleine" uniqKey="Straumann M" first="Madeleine" last="Straumann">Madeleine Straumann</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Diabetes Outpatient Clinic</s1>
<s2>Olten</s2>
<s3>CHE</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Diabetes Outpatient Clinic</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Keller, Ulrich" sort="Keller, Ulrich" uniqKey="Keller U" first="Ulrich" last="Keller">Ulrich Keller</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fehm Wolfsdorf, Gabriele" sort="Fehm Wolfsdorf, Gabriele" uniqKey="Fehm Wolfsdorf G" first="Gabriele" last="Fehm-Wolfsdorf">Gabriele Fehm-Wolfsdorf</name>
<affiliation wicri:level="1">
<inist:fA14 i1="06">
<s1>Lübeck Institute of Behavioral Medicine</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Lübeck</wicri:noRegion>
<wicri:noRegion>Lübeck Institute of Behavioral Medicine</wicri:noRegion>
<wicri:noRegion>Lübeck Institute of Behavioral Medicine</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Berger, Willi" sort="Berger, Willi" uniqKey="Berger W" first="Willi" last="Berger">Willi Berger</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cox, Daniel" sort="Cox, Daniel" uniqKey="Cox D" first="Daniel" last="Cox">Daniel Cox</name>
<affiliation wicri:level="2">
<inist:fA14 i1="07">
<s1>Center for Behavioral Medicine Research, Department of Psychiatric Medicine, University of Virginia</s1>
<s2>Charlottesville, Virginia</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">INIST</idno>
<idno type="inist">07-0019481</idno>
<date when="2005">2005</date>
<idno type="stanalyst">PASCAL 07-0019481 INIST</idno>
<idno type="RBID">Pascal:07-0019481</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000943</idno>
<idno type="wicri:Area/PascalFrancis/Curation">000526</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000811</idno>
<idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000811</idno>
<idno type="wicri:doubleKey">0160-7715:2005:Schachinger H:randomized:controlled:clinical</idno>
<idno type="wicri:Area/Main/Merge">001958</idno>
</publicationStmt>
<sourceDesc>
<biblStruct>
<analytic>
<title xml:lang="en" level="a">Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany</title>
<author>
<name sortKey="Schachinger, Hartmut" sort="Schachinger, Hartmut" uniqKey="Schachinger H" first="Hartmut" last="Schachinger">Hartmut Schachinger</name>
<affiliation wicri:level="4">
<inist:fA14 i1="01">
<s1>Department of Clinical Physiology, FB I-Psychobiology, University of Trier</s1>
<s3>DEU</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<placeName>
<settlement type="city">Trèves (Allemagne)</settlement>
<region type="land" nuts="1">Rhénanie-Palatinat</region>
</placeName>
<orgName type="university">Université de Trèves</orgName>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Psychosomatic Medicine, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>Psychosomatic Medicine, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name>
<affiliation wicri:level="1">
<inist:fA14 i1="04">
<s1>Diabetes Center</s1>
<s2>Bad Mergentheim</s2>
<s3>DEU</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Bad Mergentheim</wicri:noRegion>
<wicri:noRegion>Diabetes Center</wicri:noRegion>
<wicri:noRegion>Diabetes Center</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Straumann, Madeleine" sort="Straumann, Madeleine" uniqKey="Straumann M" first="Madeleine" last="Straumann">Madeleine Straumann</name>
<affiliation wicri:level="1">
<inist:fA14 i1="05">
<s1>Diabetes Outpatient Clinic</s1>
<s2>Olten</s2>
<s3>CHE</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Diabetes Outpatient Clinic</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Keller, Ulrich" sort="Keller, Ulrich" uniqKey="Keller U" first="Ulrich" last="Keller">Ulrich Keller</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Fehm Wolfsdorf, Gabriele" sort="Fehm Wolfsdorf, Gabriele" uniqKey="Fehm Wolfsdorf G" first="Gabriele" last="Fehm-Wolfsdorf">Gabriele Fehm-Wolfsdorf</name>
<affiliation wicri:level="1">
<inist:fA14 i1="06">
<s1>Lübeck Institute of Behavioral Medicine</s1>
<s2>Lübeck</s2>
<s3>DEU</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Allemagne</country>
<wicri:noRegion>Lübeck</wicri:noRegion>
<wicri:noRegion>Lübeck Institute of Behavioral Medicine</wicri:noRegion>
<wicri:noRegion>Lübeck Institute of Behavioral Medicine</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Berger, Willi" sort="Berger, Willi" uniqKey="Berger W" first="Willi" last="Berger">Willi Berger</name>
<affiliation wicri:level="1">
<inist:fA14 i1="03">
<s1>Endocrinology, Diabetology and Clinical Nutrition, Department of Internal Medicine, University Hospital</s1>
<s2>Basel</s2>
<s3>CHE</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Basel</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Cox, Daniel" sort="Cox, Daniel" uniqKey="Cox D" first="Daniel" last="Cox">Daniel Cox</name>
<affiliation wicri:level="2">
<inist:fA14 i1="07">
<s1>Center for Behavioral Medicine Research, Department of Psychiatric Medicine, University of Virginia</s1>
<s2>Charlottesville, Virginia</s2>
<s3>USA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<region type="state">Virginie</region>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Journal of behavioral medicine</title>
<title level="j" type="abbreviated">J. behav. med.</title>
<idno type="ISSN">0160-7715</idno>
<imprint>
<date when="2005">2005</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Journal of behavioral medicine</title>
<title level="j" type="abbreviated">J. behav. med.</title>
<idno type="ISSN">0160-7715</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Awareness</term>
<term>Behavior therapy</term>
<term>Clinical trial</term>
<term>Educational schedule</term>
<term>Emotion emotionality</term>
<term>Fear</term>
<term>Germany</term>
<term>Glucose</term>
<term>Hypoglycemia</term>
<term>Psychoeducation</term>
<term>Selfcare</term>
<term>Social environment</term>
<term>Switzerland</term>
<term>Type 1 diabetes</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Essai clinique</term>
<term>Glucose</term>
<term>Prise conscience</term>
<term>Suisse</term>
<term>Allemagne</term>
<term>Hypoglycémie</term>
<term>Psychoéducation</term>
<term>Programme éducatif</term>
<term>Peur</term>
<term>Emotion émotivité</term>
<term>Diabète type 1</term>
<term>Soin autogéré</term>
<term>Environnement social</term>
<term>Thérapie comportementale</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr">
<term>Suisse</term>
<term>Allemagne</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Glucose</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Although both diabetes and the efficacy of medical management are international issues, psycho-educational interventions might be culturally bound. Blood Glucose Awareness Training (BGAT) is a psycho-educational program for patients with type 1 diabetes mellitus. It is focused on improving recognition and management of extreme blood glucose levels, and is the best documented American psycho-educational program for this purpose. A randomized controlled clinical trial of BGAT's long-term benefits in a non-American setting has been lacking. One hundred and eleven adults with type 1 diabetes mellitus from Switzerland and Germany participated. After a 6 months baseline assessment, subjects were randomly assigned to receive either 2 months of BGAT (n = 56) or a physician-guided self-help control intervention (n=55). BGAT improved recognition of low (p = 0.008), high (p = .03), and overall blood glucose (p = 0.001), and reduced frequency of severe hypoglycemia (p = 0.04), without compromising metabolic control. BGAT reduced both the external locus of control (p < 0.02) and fear of hypoglycemia (p < 0.02). BGAT was efficacious in reducing adverse clinical events and achieving clinically desirable goals in a European, as well as American setting.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Suisse</li>
<li>États-Unis</li>
</country>
<region>
<li>Rhénanie-Palatinat</li>
<li>Virginie</li>
</region>
<settlement>
<li>Trèves (Allemagne)</li>
</settlement>
<orgName>
<li>Université de Trèves</li>
</orgName>
</list>
<tree>
<country name="Allemagne">
<region name="Rhénanie-Palatinat">
<name sortKey="Schachinger, Hartmut" sort="Schachinger, Hartmut" uniqKey="Schachinger H" first="Hartmut" last="Schachinger">Hartmut Schachinger</name>
</region>
<name sortKey="Fehm Wolfsdorf, Gabriele" sort="Fehm Wolfsdorf, Gabriele" uniqKey="Fehm Wolfsdorf G" first="Gabriele" last="Fehm-Wolfsdorf">Gabriele Fehm-Wolfsdorf</name>
<name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name>
</country>
<country name="Suisse">
<noRegion>
<name sortKey="Schachinger, Hartmut" sort="Schachinger, Hartmut" uniqKey="Schachinger H" first="Hartmut" last="Schachinger">Hartmut Schachinger</name>
</noRegion>
<name sortKey="Berger, Willi" sort="Berger, Willi" uniqKey="Berger W" first="Willi" last="Berger">Willi Berger</name>
<name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
<name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
<name sortKey="Keller, Ulrich" sort="Keller, Ulrich" uniqKey="Keller U" first="Ulrich" last="Keller">Ulrich Keller</name>
<name sortKey="Straumann, Madeleine" sort="Straumann, Madeleine" uniqKey="Straumann M" first="Madeleine" last="Straumann">Madeleine Straumann</name>
</country>
<country name="États-Unis">
<region name="Virginie">
<name sortKey="Cox, Daniel" sort="Cox, Daniel" uniqKey="Cox D" first="Daniel" last="Cox">Daniel Cox</name>
</region>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Rhénanie/explor/UnivTrevesV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001958 | SxmlIndent | more

Ou

HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 001958 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Rhénanie
   |area=    UnivTrevesV1
   |flux=    Main
   |étape=   Merge
   |type=    RBID
   |clé=     Pascal:07-0019481
   |texte=   Randomized controlled clinical trial of blood glucose awareness training (BGAT III) in Switzerland and Germany
}}

Wicri

This area was generated with Dilib version V0.6.31.
Data generation: Sat Jul 22 16:29:01 2017. Site generation: Wed Feb 28 14:55:37 2024