原创力文档adjunctive naturopathic care for type 2 diabetes patient-reported and clinical outcomes after one year辅助自然疗法治疗2型糖尿病patient-reported和临床结果后一年.pdfVIP
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adjunctive naturopathic care for type 2 diabetes patient-reported and clinical outcomes after one year辅助自然疗法治疗2型糖尿病patient-reported和临床结果后一年
Bradley et al. BMC Complementary and Alternative Medicine 2012, 12:44
/1472-6882/12/44
RESEARCH ARTICLE Open Access
Adjunctive naturopathic care for type 2
diabetes: patient-reported and clinical
outcomes after one year
1 2 2 1 1 2 2
Ryan Bradley , Karen J Sherman , Sheryl Catz , Carlo Calabrese , Erica B Oberg , Luesa Jordan , Lou Grothaus and
Dan Cherkin2*
Abstract
Background: Several small, uncontrolled studies have found improvements in self-care behaviors and reductions in
clinical risk in persons with type 2 diabetes who received care from licensed naturopathic physicians. To extend
these findings and determine the feasibility and promise of a randomized clinical trial, we conducted a prospective
study to measure the effects of adjunctive naturopathic care (ANC) in primary care patients with inadequately
controlled type 2 diabetes.
Methods: Forty patients with type 2 diabetes were invited from a large integrated health care system to receive up
to eight ANC visits for up to one year. Participants were required to have hemoglobin A1c (HbA1c) values between
7.5-9.5 % and at least one additional cardiovascular risk factor (i.e., hypertension, hyperlipidemia or overweight).
Standardized instruments were administered by telephone to collect outcome data on self-care, self-efficacy,
diabetes problem areas, perceived stress, motivation, and mood. Changes from baseline scores were calculated at
6- and 12-months after entry into the study. Six and 12-month changes in clinical risk factors (i.e., HbA1c, lipid and
blood pressure) were calculated for the ANC cohort, and compared to changes in a cohort of 329 eligible,
non-participating patients constructed using electronic
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