Randomized controlled clinical trial of Blood Glucose Awareness Training (BGAT III) in Switzerland and Germany.
Identifieur interne : 000699 ( PubMed/Corpus ); précédent : 000698; suivant : 000700Randomized controlled clinical trial of Blood Glucose Awareness Training (BGAT III) in Switzerland and Germany.
Auteurs : Hartmut Schachinger ; Karin Hegar ; Norbert Hermanns ; Madeleine Straumann ; Ulrich Keller ; Gabriele Fehm-Wolfsdorf ; Willi Berger ; Daniel CoxSource :
- Journal of behavioral medicine [ 0160-7715 ] ; 2005.
English descriptors
- KwdEn :
- Analysis of Variance, Awareness, Blood Glucose Self-Monitoring (psychology), Diabetes Mellitus, Type 1 (blood), Diabetes Mellitus, Type 1 (psychology), Fear, Female, Germany, Humans, Hypoglycemia (prevention & control), Hypoglycemia (psychology), Internal-External Control, Male, Middle Aged, Patient Education as Topic (methods), Quality of Life, Switzerland.
- MESH :
- geographic : Germany, Switzerland.
- blood : Diabetes Mellitus, Type 1.
- methods : Patient Education as Topic.
- prevention & control : Hypoglycemia.
- psychology : Blood Glucose Self-Monitoring, Diabetes Mellitus, Type 1, Hypoglycemia.
- Analysis of Variance, Awareness, Fear, Female, Humans, Internal-External Control, Male, Middle Aged, Quality of Life.
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.
DOI: 10.1007/s10865-005-9026-3
PubMed: 16222412
Links to Exploration step
pubmed:16222412Le document en format XML
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<author><name sortKey="Schachinger, Hartmut" sort="Schachinger, Hartmut" uniqKey="Schachinger H" first="Hartmut" last="Schachinger">Hartmut Schachinger</name>
<affiliation><nlm:affiliation>Department of Clinical Physiology, FB I-Psychobiology, University of Trier, Trier, Germany. schaechi@uni-trier.de</nlm:affiliation>
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<author><name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
</author>
<author><name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name>
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<author><name sortKey="Straumann, Madeleine" sort="Straumann, Madeleine" uniqKey="Straumann M" first="Madeleine" last="Straumann">Madeleine Straumann</name>
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<author><name sortKey="Keller, Ulrich" sort="Keller, Ulrich" uniqKey="Keller U" first="Ulrich" last="Keller">Ulrich Keller</name>
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<author><name sortKey="Fehm Wolfsdorf, Gabriele" sort="Fehm Wolfsdorf, Gabriele" uniqKey="Fehm Wolfsdorf G" first="Gabriele" last="Fehm-Wolfsdorf">Gabriele Fehm-Wolfsdorf</name>
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<author><name sortKey="Berger, Willi" sort="Berger, Willi" uniqKey="Berger W" first="Willi" last="Berger">Willi Berger</name>
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<author><name sortKey="Cox, Daniel" sort="Cox, Daniel" uniqKey="Cox D" first="Daniel" last="Cox">Daniel Cox</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">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>
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<author><name sortKey="Hegar, Karin" sort="Hegar, Karin" uniqKey="Hegar K" first="Karin" last="Hegar">Karin Hegar</name>
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<author><name sortKey="Hermanns, Norbert" sort="Hermanns, Norbert" uniqKey="Hermanns N" first="Norbert" last="Hermanns">Norbert Hermanns</name>
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<author><name sortKey="Straumann, Madeleine" sort="Straumann, Madeleine" uniqKey="Straumann M" first="Madeleine" last="Straumann">Madeleine Straumann</name>
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<author><name sortKey="Keller, Ulrich" sort="Keller, Ulrich" uniqKey="Keller U" first="Ulrich" last="Keller">Ulrich Keller</name>
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<author><name sortKey="Fehm Wolfsdorf, Gabriele" sort="Fehm Wolfsdorf, Gabriele" uniqKey="Fehm Wolfsdorf G" first="Gabriele" last="Fehm-Wolfsdorf">Gabriele Fehm-Wolfsdorf</name>
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<series><title level="j">Journal of behavioral medicine</title>
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<term>Awareness</term>
<term>Blood Glucose Self-Monitoring (psychology)</term>
<term>Diabetes Mellitus, Type 1 (blood)</term>
<term>Diabetes Mellitus, Type 1 (psychology)</term>
<term>Fear</term>
<term>Female</term>
<term>Germany</term>
<term>Humans</term>
<term>Hypoglycemia (prevention & control)</term>
<term>Hypoglycemia (psychology)</term>
<term>Internal-External Control</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Education as Topic (methods)</term>
<term>Quality of Life</term>
<term>Switzerland</term>
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<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term>
<term>Switzerland</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Education as Topic</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Hypoglycemia</term>
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<term>Diabetes Mellitus, Type 1</term>
<term>Hypoglycemia</term>
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<keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term>
<term>Awareness</term>
<term>Fear</term>
<term>Female</term>
<term>Humans</term>
<term>Internal-External Control</term>
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<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>
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<Abstract><AbstractText>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.</AbstractText>
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