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For breast cancer patients, nurse lead telephone and GP organised follow-up are cost-effective 36–– 38 with no increase in the frequency of SCE.
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17 Similarly, nurse led telephone coaching with or without the addition of a web based system improved glycaemic control.
25 We found that our practice nurse led telephone coaching intervention had no impact on glycated haemoglobin (HbA1c), intensification of insulin therapy, or other measures at 18 months.
The study by Sandgren [ 38] was a nurse led telephone intervention incorporating education and this showed one small effect for perceived stress favouring health education.
Conclusions A practice nurse led telephone coaching intervention implemented in the real world primary care setting produced comparable outcomes to usual primary care in Australia.
10 52 53 However, in other reported studies in the primary care setting, the intensity of nurse led telephone coaching intervention varied and these studies produced mixed outcomes.
Our study finding is consistent with recent trials which showed that a nurse led telephone coaching intervention was not effective in reducing HbA1c.
They tended to get this from other people, such as relatives, local diabetes support group, Facebook, and a nurse led telephone helpline.
Analysis of NHS 111 call data is now essential in understanding how a non-clinically led telephone service varies in patient referrals, as well as the effectiveness of this service within the urgent and emergency care pathway.
The Patient Engagement And Coaching for Health (PEACH) study was an 18 month stratified cluster randomised controlled trial of practice nurse led telephone coaching compared with usual general practice care among patients with poorly controlled type 2 diabetes.
The authors are currently involved in the development and evaluation of a 'lay health worker' led telephone self-management support intervention, which is being evaluated in an RCT in people diagnosed with stage 3 chronic kidney disease (CKD [ 16]).
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