Journal article
The structure and content of telephonic scripts found useful in a Medicaid Chronic Disease Management Program
Chronic illness, v 6(2), pp 83-88
Jun 2010
PMID: 20484324
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In 2003, the Indiana Office of Medicaid Policy and Planning launched the Indiana Chronic Disease Management Program (ICDMP), a programme intended to improve the health and healthcare utilization of 15,000 Aged, Blind and Disabled Medicaid members living with diabetes and/or congestive heart failure in Indiana. Within ICDMP, programme components derived from the Chronic Care Model and education based on an integrated theoretical framework were utilized to create a telephonic care management intervention that was delivered by trained, non-clinical Care Managers (CMs) working under the supervision of a Registered Nurse. CMs utilized computer-assisted health education scripts to address clinically important topics, including medication adherence, diet, exercise and prevention of disease-specific complications. Employing reflective listening techniques, barriers to optimal self-management were assessed and members were encouraged to engage in health-improving actions. ICDMP evaluation results suggest that this low-intensity telephonic intervention shifted utilization and lowered costs. We discuss this patient-centred method for motivating behaviour change, the theoretical constructs underlying the scripts and the branched-logic format that makes them suitable to use as a computer-based application. Our aim is to share these public-domain materials with other programmes.
Metrics
Details
- Title
- The structure and content of telephonic scripts found useful in a Medicaid Chronic Disease Management Program
- Creators
- Alexis M Roth - Indiana University – Purdue University IndianapolisRonald T Ackermann - Indiana University – Purdue University IndianapolisStephen M Downs - Indiana University – Purdue University IndianapolisAnne M Downs - University of IndianapolisAlan J Zillich - Richard L. Roudebush VA Medical CenterAnn M Holmes - Indiana University – Purdue University IndianapolisBarry P Katz - Indiana University – Purdue University IndianapolisMichael D Murray - University of North Carolina at Chapel HillThomas S Inui - Regenstrief Institute
- Publication Details
- Chronic illness, v 6(2), pp 83-88
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000433639500001
- Scopus ID
- 2-s2.0-77953340635
- Other Identifier
- 991021894434704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Health Care Sciences & Services
- Public, Environmental & Occupational Health