scholarly journals Shared decision-making and outcomes in type 2 diabetes: A systematic review and meta-analysis

2017 ◽  
Vol 100 (12) ◽  
pp. 2159-2171 ◽  
Author(s):  
Michael Saheb Kashaf ◽  
Elizabeth Tyner McGill ◽  
Zackary Dov Berger
Keyword(s):  
Systematic Review ◽  
Type 2 Diabetes ◽  
Decision Making ◽  
Shared Decision Making ◽  
Meta Analysis ◽  
Shared Decision

scholarly journals Shared decision making and patient-centeredness for patients with poorly controlled type 2 diabetes mellitus in primary care—results of the cluster-randomised controlled DEBATE trial

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Anja Wollny ◽  
Christin Löffler ◽  
Eva Drewelow ◽  
Attila Altiner ◽  
Christian Helbig ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Decision Making ◽  
Type 2 Diabetes Mellitus ◽  
Shared Decision Making ◽  
Intervention Group ◽  
Control Group ◽  
Shared Decision ◽  
Patient Centeredness

Abstract Background We investigate whether an educational intervention of GPs increases patient-centeredness and perceived shared decision making in the treatment of patients with poorly controlled type 2 diabetes mellitus? Methods We performed a cluster-randomized controlled trial in German primary care. Patients with type 2 diabetes mellitus defined as HbA1c levels ≥ 8.0% (64 mmol/mol) at the time of recruitment (n = 833) from general practitioners (n = 108) were included. Outcome measures included subjective shared decision making (SDM-Q-9; scale from 0 to 45 (high)) and patient-centeredness (PACIC-D; scale from 1 to 5 (high)) as secondary outcomes. Data collection was performed before intervention (baseline, T0), at 6 months (T1), at 12 months (T2), at 18 months (T3), and at 24 months (T4) after baseline. Results Subjective shared decision making decreased in both groups during the course of the study (intervention group: -3.17 between T0 and T4 (95% CI: -4.66, -1.69; p < 0.0001) control group: -2.80 (95% CI: -4.30, -1.30; p = 0.0003)). There were no significant differences between the two groups (-0.37; 95% CI: -2.20, 1.45; p = 0.6847). The intervention's impact on patient-centeredness was minor. Values increased in both groups, but the increase was not statistically significant, nor was the difference between the groups. Conclusions The intervention did not increase patient perceived subjective shared decision making and patient-centeredness in the intervention group as compared to the control group. Effects in both groups might be partially attributed to the Hawthorne-effect. Future trials should focus on patient-based intervention elements to investigate effects on shared decision making and patient-centeredness. Trial registration The trial was registered on March 10th, 2011 at ISRCTN registry under the reference ISRCTN70713571.

scholarly journals Do Interventions Designed to Support Shared Decision-Making Reduce Health Inequalities? A Systematic Review and Meta-Analysis

PLoS ONE ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. e94670 ◽  
Author(s):  
Marie-Anne Durand ◽  
Lewis Carpenter ◽  
Hayley Dolan ◽  
Paulina Bravo ◽  
Mala Mann ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Inequalities ◽  
Meta Analysis ◽  
Shared Decision

scholarly journals Shared decision making for patients with type 2 diabetes: a randomized trial in primary care

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Megan E Branda ◽  
Annie LeBlanc ◽  
Nilay D Shah ◽  
Kristina Tiedje ◽  
Kari Ruud ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Primary Care ◽  
Decision Making ◽  
Randomized Trial ◽  
Shared Decision Making ◽  
Shared Decision

scholarly journals Improving access to shared decision-making for Hispanics/Latinos with inadequately controlled type 2 diabetes mellitus

2015 ◽  
pp. 619
Author(s):  
Alicia Shillington ◽  
Jaime A Davidson ◽  
Aracely Rosales ◽  
Robert Bailey ◽  
Chris Kabir ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Decision Making ◽  
Type 2 Diabetes Mellitus ◽  
Shared Decision Making ◽  
Shared Decision
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