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Research Studies is a monthly compilation of research articles funded by AHRQ or authored by AHRQ researchers and recently published in journals or newsletters.
Results1 to 5 of 5 Research Studies Displayed
Kunneman M, Branda ME, Ridgeway JL
Making sense of diabetes medication decisions: a mixed methods cluster randomized trial using a conversation aid intervention.
The purpose of this trial was to determine the effectiveness of a shared decision-making (SDM) tool versus guideline-informed usual care in translating evidence into primary care, and to explore how use of the tool changed patient perspectives about diabetes medication decision making. Findings showed that using an SDM conversation aid improved patient knowledge and involvement in SDM without impacting treatment choice, encounter length, medication adherence, or improved diabetes control in patients with type 2 diabetes.
Citation: Kunneman M, Branda ME, Ridgeway JL . Making sense of diabetes medication decisions: a mixed methods cluster randomized trial using a conversation aid intervention. Endocrine 2022 Feb;75(2):377-91. doi: 10.1007/s12020-021-02861-4..
Keywords: Diabetes, Medication, Decision Making, Patient-Centered Healthcare, Clinician-Patient Communication, Chronic Conditions
Howland C, Despins L, Sindt J
Primary care clinic nurse activities with a telehealth monitoring system.
The purpose of this study was to evaluate differences in the types of nursing activities and communication processes reported in a primary care clinic between patients using a home-based monitoring system to electronically communicate self-monitored blood glucose and blood pressure values and those assuming usual care. Significant differences were identified for the direct care nursing activities of providing lifestyle and health education, medication adjustments, and patient follow-up, providing evidence of greater nursing activity reported in a primary care clinic in patients who utilized a home-based monitoring system.
Citation: Howland C, Despins L, Sindt J . Primary care clinic nurse activities with a telehealth monitoring system. West J Nurs Res 2021 Jan;43(1):5-12. doi: 10.1177/0193945920923082..
Keywords: Telehealth, Health Information Technology (HIT), Nursing, Primary Care, Clinician-Patient Communication, Communication, Patient Self-Management, Hypertension, Diabetes, Chronic Conditions
Chung S, Panattoni L, Chi J
Can secure patient-provider messaging improve diabetes care?
The authors examined whether messaging with physicians for medical advice is associated with fewer face-to-face visits and better diabetes management. Patients with diabetes using an online portal were studied; 72% used messaging, and those who made frequent visits were also more likely to message. No messaging at all was negatively associated with the likelihood of meeting an HbA1c target. Among message users, additional messages were associated with better outcome, with a stronger relationship for noninsulin users. Physician-initiated messages had effects similar to those for patient-initiated messages.
Citation: Chung S, Panattoni L, Chi J . Can secure patient-provider messaging improve diabetes care? Diabetes Care 2017 Oct;40(10):1342-48. doi: 10.2337/dc17-0140.
Keywords: Communication, Diabetes, Clinician-Patient Communication, Electronic Health Records (EHRs)
Gatwood J, Balkrishnan R, Erickson SR
The impact of tailored text messages on health beliefs and medication adherence in adults with diabetes: a randomized pilot study.
The purpose of this pilot study was to test the effectiveness of tailored text messages focusing on improving medication adherence and health beliefs in adults with diabetes. It found that declines in medication adherence were observed in both groups over time but no significant differences were observed between groups or from baseline to the end of the active study period.
Citation: Gatwood J, Balkrishnan R, Erickson SR . The impact of tailored text messages on health beliefs and medication adherence in adults with diabetes: a randomized pilot study. Res Social Adm Pharm 2016 Jan-Feb;12(1):130-40. doi: 10.1016/j.sapharm.2015.04.007.
Keywords: Diabetes, Medication, Patient Adherence/Compliance, Health Information Technology (HIT), Clinician-Patient Communication
Ritholz MD, Wolpert H, Beste M
Patient-provider relationships across the transition from pediatric to adult diabetes care: a qualitative study.
The purpose of this study was to explore perceptions that emerging adults with type 1 diabetes (T1D) have of their patient-provider relationships across the transition from pediatric to adult care. Several themes emerged from the analysis including the importance of improving provider approaches to transition. Patients recommended that pediatric providers actively promote emerging adults’ autonomy while maintaining parental support.
Citation: Ritholz MD, Wolpert H, Beste M . Patient-provider relationships across the transition from pediatric to adult diabetes care: a qualitative study. Diabetes Educ 2014 Jan-Feb;40(1):40-7. doi: 10.1177/0145721713513177..
Keywords: Chronic Conditions, Diabetes, Patient Experience, Clinician-Patient Communication, Transitions of Care