{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:04:48Z","timestamp":1777910688006,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,12,4]],"date-time":"2009-12-04T00:00:00Z","timestamp":1259884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diabetes Educ"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:p>Purpose<\/jats:p>\n                  <jats:p>The purpose of this study was to assess whether the VA-MEDIC (Veterans Affairs Multi-disciplinary Education and Diabetes Intervention for Cardiac risk reduction), a pharmacist-led group medical visit program, could improve achievement of target goals in hypertension, hyperglycemia, hyperlipidemia, and tobacco use in patients with type 2 diabetes compared to usual care.<\/jats:p>\n                  <jats:p>Methods<\/jats:p>\n                  <jats:p>This was a randomized controlled trial of VA-MEDIC intervention in addition to usual care versus usual care alone in diabetic patients to reduce cardiac risk factors. VA-MEDIC consisted of a 40- to 60-minute educational component by nurse, nutritionist, physical therapist, or pharmacist followed by pharmacist-led behavioral and pharmacological interventions over 4 weekly sessions.<\/jats:p>\n                  <jats:p>Measures<\/jats:p>\n                  <jats:p>The attainment of target goals in hemoglobin A1C (A1C), blood pressure, fasting lipids, and tobacco use recommended by the American Diabetes Association.<\/jats:p>\n                  <jats:p>Results<\/jats:p>\n                  <jats:p>Of 118 participants, 109 completed the study. VA-MEDIC (n = 58) participants were younger and had greater tobacco use at baseline than usual care but were similar in other cardiovascular risk factors. After 4 months, a greater proportion of VA-MEDIC participants versus controls achieved an A1C of less than 7% and a systolic blood pressure less than 130 mm Hg. No significant change was found in lipid control or tobacco use between the 2 study arms.<\/jats:p>\n                  <jats:p>Conclusion<\/jats:p>\n                  <jats:p>Pharmacist-led group medical visits are feasible and efficacious for improving cardiac risk factors.<\/jats:p>","DOI":"10.1177\/0145721709352383","type":"journal-article","created":{"date-parts":[[2009,12,4]],"date-time":"2009-12-04T23:46:55Z","timestamp":1259970415000},"page":"109-117","source":"Crossref","is-referenced-by-count":78,"title":["Pharmacist-Led Group Medical Appointment Model in Type 2 Diabetes"],"prefix":"10.1177","volume":"36","author":[{"given":"Tracey H.","family":"Taveira","sequence":"first","affiliation":[{"name":"Systems Outcomes and Quality in Chronic disease and\rRehabilitation (SOQCR), Research Enhancement Award Program (REAP) Providence\rVA Medical Center, Providence, Rhode Island, TTaveira@uri.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter D.","family":"Friedmann","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School\rof Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa B.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, College of Pharmacy,\rUniversity of Rhode Island, Kingston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea G.","family":"Dooley","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice, College of Pharmacy,\rUniversity of Rhode Island, Kingston"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameed Ahmed M.","family":"Khatana","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School\rof Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul A.","family":"Pirraglia","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School\rof Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wen-Chih","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Medicine, Warren Alpert Medical School\rof Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,12,4]]},"reference":[{"key":"atypb1","volume-title":"The Burden of Chronic Diseases and Their Risk Factors: National and State Perspectives 2004","year":"2004"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021778"},{"key":"atypb3","first-page":"950","volume":"8","year":"2002","journal-title":"Am J Manag 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