Technology Assessment: Use of Behavioral Therapies for Treatment of Medical Disorders: Part 1. Impact on Management of Patients with Diabetes Mellitus (continued)

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Use of Behavioral Therapies for Treatment of Medical Disorders

Part 1. Impact on Management of Patients with Diabetes Mellitus (continued)

Appendix C

Key to Figures Illustrating Effect Size

Rec #	Study	Metabolic Control	Intervention	Intervention Category	Size	Intensity	Control	N (total) Subjects	Treatment Length (weeks)	Number of Sessions	Sessions/ Week
5220	Agurs-Collins, 1997	HbA1c	Group and individual diet and exercise counseling	D/E	Large	High	Usual Care	64	24	18	0.750
460	Aikens, 1997	GHb	Theory, guidelines and in-session therapist-guided instruction on relaxation	Relaxation	Small	Low	Usual Care	22	8	6	0.750
2920	Anderson, 1995	GHb	Patient empowerment: goal-setting, problem-solving, coping strategies	CBT	Large	Low	Wait list	64	6	6	1.000
840	Boehm, 1993	GHb	Compliance—behaviors related to regimen	CBT	Large	NR	Usual care	73	NS	NS	NS
840	Boehm, 1993 (2)	GHb	Behavioral strategies—analysis sessions with nurse, focused on one strategy	CBT	Large	NR	Usual care	83	NS	NS	NS
840	Boehm, 1993 (3)	GHb	Behavioral strategies with instruction—patient received instruction on strategies	CBT	Large	NR	Usual care	82	NS	NS	NS
3830	Brown, 2002	HbA1c	Bilingual health behavior—focused on realistic health recommendations	CBT	Large	High	Usual care/ Wait list	252	28	26	0.929
1440	Cabrera-Pivaral, 2000	Glucose means	Behavior modification—changing thoughts, behaviors and feelings through participation techniques	CBT	Small	High	Standard education	49	36	36	1.000
3400	Campbell, 1990	FBG	Intensive group education including visualization	CBT	Large	Low	Conventional education program	62	11	NS	NS
620	Campbell, 1996	HbA1c	Individual sessions plus 3 day small group course focused on diet, exercise, diabetes education	CBT	Large	NR	Minimal intervention	116	NS	NS	NS
620	Campbell, 1996 (2)	HbA1c	Group sessions with information on diet, exercise, diabetes education	CBT	Large	NR	Minimal intervention	125	NS	NS	NS
620	Campbell, 1996 (3)	HbA1c	CBT strategies taught by nurse, focused on eating, exercise and smoking—individual	CBT	Large	NR	Minimal intervention	115	NS	NS	NS
6360	Cox, 1991	HbA1c	BGAT (standard)—classes with readings and homework and daily recordings of BG cues	BGAT	Small	Low	Control—attended meetings and kept diaries	27	7	7	1.000
6360	Cox, 1991 (2)	HbA1c	BGAT (intensive)—immediate feedback during hospitalization	BGAT	Small	Low	Control—attended meetings and kept diaries	16	7	7	1.000
6250	D'Eramo-Melkus, 1991	HbA1c	Group behavioral intervention—lecture sessions on general skills and nutrition, goal-setting	CBT	Large	Low	Minimal skills intervention	56	11	11	1.000
6250	D'Eramo-Melkus, 1992 (2)	HbA1c	Group behavioral intervention plus individual followup sessions	CBT	Large	Low	Minimal skills intervention	54	18	13	.7220
20	Didjurgeit, 2002	HbA1c	Psycho-therapeutic intervention by one therapist	CBT	Small	High	Wait list	44	14	14	1.000
510	Fosbury, 1997	HbA1	Cognitive Analytic Therapy (CAT)	CBT	Small	High	Diabetes specialist nurse education	32	16	16	1.000
330	Gaede, 1999	HbA1c	Intensified treatment—standard treatment plus behavior modification and introduction to pharmacological therapy	CBT	Large	High	Standard information	160	208	16	0.077
210	Gaede, 2001	HbA1c	Intensive multifactorial intervention—goal-setting and information on diet, exercise, smoking cessation, self-monitoring	CBT	Large	Low	Standard information	149	24	NS	NS
6180	Glasgow, 1992	GHb	Focused education on dietary and self-care behaviors, problem-solving and coping strategies	CBT	Large	Low	Delayed intervention	102	12	10	0.833
240	Glasgow, 2000	HbA1	Basic intervention plus telephone follow-up to provide support and reinforcement, personalized problem-solving training	CBT	Large	NR	Basic intervention—interactive multimedia touch-screen assessment	160	NS	NS	NS
240	Glasgow, 2000 (2)	HbA1	Basic intervention plus community resources—newsletters, goal feedback, food-frequency questionnaire	CBT	Large	NR	Basic intervention—interactive multimedia touch-screen assessment	160	NS	NS	NS
240	Glasgow, 2000 (3)	HbA1	Combined condition—combination of basic, telephone and community resource followup	CBT	Large	NR	Basic intervention—interactive multimedia touch-screen assessment	160	NS	NS	NS
3440	Goldhaber-Fiebert, 2003	GHb	Lifestyle intervention (in Spanish) focusing on nutrition	D/E	Large	Low	Standard diabetes lecture	75	12	11	0.917
3220	Hanefeld, 1991	FBG	IHE + placebo—patients seen at 3-month intervals	D/E	Large	High	Regular clinical checkups	760	260	20	0.077
3220	Hanefeld, 1991 (2)	FBG	IHE + calofibric acid—patients seen at 3-month intervals	D/E	Large	High	Regular clinical checkups	757	260	20	0.077
4650	Kinsley, 1999	HbA1c	BGAT—group training sessions	BGAT	Small	Low	Cholesterol awareness	47	16	8	0.500
6110	Laitinen, 1993	GHb	In-clinic education and goal-setting focusing on nutrition	CBT	Large	Low	Usual care	86	52	6	0.115
2050	Lane, 1993	GHb	Intensive diabetes education plus weekly biofeedback-assisted relaxation training	Relaxation	Small	High	Intensive diabetes education	38	48	52	1.083
3180	Maxwell, 1992	GHb	5-day training program plus behavioral group therapy—0-3 group meetings	CBT	Large	Low	5-day small group training program	180	8	8	1.000
3180	Maxwell, 1992 (2)	GHb	5-day training program plus behavioral group therapy—4-8 group meetings	CBT	Large	Low	5-day small group training program	117	8	8	1.000
2970	McGrady, 1991	Blood glucose means	Biofeedback-assisted relaxation	Relax	Small	Low	Group counseling	18	10	10	1.000
350	McGrady, 1999	GHb	45-minute sessions of biofeedback assisted relaxation	Relaxation	Small	High	Usual care/ glucose monitoring	18	8 to 15	12	NS
2370	Oh, 2003	HbA1c	Telephone intervention—continuous education reinforcement	D/E	Small	High	Usual care	38	12	16	1.333
2910	Perry, 1997	HbA1c	Monthly meetings, individualized diet and exercise prescriptions, fitness appraisal	D/E	Large	Low	Standard care once every 3 months	61	NS	NS	NS
3200	Rost, 1991	GHb	Patient activation intervention—focusing on decisionmaking and information seeking	CBT	Large	Low	Standard evaluation and education	61	0.14	2	14.286
550	Smith, 1997	GHb	Behavioral weight control (group) plus three individualized motivational interviews	CBT	Small	High	Behavioral weight control (group)	16	16	16	1.000
2360	Trento, 2002	HbA1c	Group education sessions focusing on multiple factors	CBT	Large	High	Individual diabetes education	112	208	16	0.077
6240	Vanninen, 1992 (men)	HbA1c	Physician distributed information on exercise	D/E	Small	Low	Basic information sessions	45	52	6	0.115
6240	Vanninen, 1992 (women)	HbA1c	Physician distributed information on exercise	D/E	Small	Low	Basic information sessions	32	52	6	0.115

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