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Pharmacist-led telehealth distemper management in patients with diabetes and depression. Junior Investigator: Lisa B. Cohen sr. Investigator: Paul A. Pirragilia, M.D. Abstract Rationale: There is a high prevalence of major depression and significant depressive symptoms in patients with diabetes mellitus (DM). Co-morbid depression in diabetes results in decreased adherence to diabetes self-care and attenuates the gear up of medical interventions. A pharmacistled diabetes case management program at the Providence VA Medical Center has improved treatment adherence, glycemic obtain and cardiac find reduction in patients with successive diabetes and agreeable illness. However, the frequent clinic encounters that are necessary to control cardiac jeopardize factors are cumbersome for patients and costly to the institution. We have other in front data that show that depressed patients are responsive to a telehealth disease management program, bu t whether this strategy could be engage by clinical pharmacists to treat patients with diabetes and depression instead of the step individual visits has not been tested.

Objective: To determine whether a pharmacist-led telehealth disease management program is superior to usual care in improving diabetes medication treatment adherence in patients with co-occurrence diabetes and depression. Methods: We propose to conduct a randomized, controlled pilot study of 80 patients with concomitant diagnosis of diabetes and depression with a hemoglobin A1C > 8%. Forty patients exit be randomly assigned to bring out the pharmacist-led telehealth program (experimental arm), w hich leave behind include an initial visit ! to meditate about the technology, weekly monitoring of telehealth data, followed by phone calls when alerted by the telehealth system for 6 months. Another 40 patients will be allocated to usual care (control arm). The primary outcome will be the change in diabetes and depression medication...If you want to allow a full essay, order it on our website: OrderEssay.net

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