OBJECTIVE: Although an active role of the patient is often stressed in diabetes care, it is not easily implemented in daily practice. The aim of the study was to measure the effects of introducing a diabetes passport to patients after embedding the passport in the organization of care. DESIGN: Randomized controlled trial. SETTING:Forty general practice in The Netherlands. PARTICIPANTS: Pre- and post-intervention data were obtained from 993 patients with type 2 diabetes mellitus. Patients treated in secondary care and patients over 80 years of age were excluded. INTERVENTION: The intervention consisted of clarifying the diabetes care tasks for all practice staff and embedding the diabetes passports in the structured care. Main outcome measure. Self-reported use of the diabetes passport. RESULTS: Diabetes passports were issued to 87% of the patients. After 15 months, 76% of the patients reported that the passport was being used during clinic visits. The process indicators of care improved by 10% on average in the intervention group. However, there were no changes in the outcome measures. CONCLUSION: Diabetes passports can be introduced successfully in structured primary care and they lead to improved effect measures for medical behaviour.
RCT Entities:
OBJECTIVE: Although an active role of the patient is often stressed in diabetes care, it is not easily implemented in daily practice. The aim of the study was to measure the effects of introducing a diabetes passport to patients after embedding the passport in the organization of care. DESIGN: Randomized controlled trial. SETTING: Forty general practice in The Netherlands. PARTICIPANTS: Pre- and post-intervention data were obtained from 993 patients with type 2 diabetes mellitus. Patients treated in secondary care and patients over 80 years of age were excluded. INTERVENTION: The intervention consisted of clarifying the diabetes care tasks for all practice staff and embedding the diabetes passports in the structured care. Main outcome measure. Self-reported use of the diabetes passport. RESULTS:Diabetes passports were issued to 87% of the patients. After 15 months, 76% of the patients reported that the passport was being used during clinic visits. The process indicators of care improved by 10% on average in the intervention group. However, there were no changes in the outcome measures. CONCLUSION:Diabetes passports can be introduced successfully in structured primary care and they lead to improved effect measures for medical behaviour.
Authors: Ingmar Schäfer; Claudia Küver; Benjamin Gedrose; Falk Hoffmann; Barbara Russ-Thiel; Hans-Peter Brose; Hendrik van den Bussche; Hanna Kaduszkiewicz Journal: BMC Health Serv Res Date: 2010-03-03 Impact factor: 2.655
Authors: Susan Hrisos; Martin P Eccles; Jill J Francis; Marije Bosch; Rob Dijkstra; Marie Johnston; Richard Grol; Eileen F S Kaner; Ian N Steen Journal: BMC Health Serv Res Date: 2009-08-05 Impact factor: 2.655
Authors: Martin P Eccles; Susan Hrisos; Jillian J Francis; Nick Steen; Marije Bosch; Marie Johnston Journal: Implement Sci Date: 2009-05-05 Impact factor: 7.327
Authors: John G Lawrenson; Ella Graham-Rowe; Fabiana Lorencatto; Jennifer Burr; Catey Bunce; Jillian J Francis; Patricia Aluko; Stephen Rice; Luke Vale; Tunde Peto; Justin Presseau; Noah Ivers; Jeremy M Grimshaw Journal: Cochrane Database Syst Rev Date: 2018-01-15
Authors: Marije Bosch; Rob Dijkstra; Michel Wensing; Trudy van der Weijden; Richard Grol Journal: BMC Health Serv Res Date: 2008-08-21 Impact factor: 2.655
Authors: Nienke Cuperus; Agnes J Smink; Sita M A Bierma-Zeinstra; Joost Dekker; Henk J Schers; Fijgje de Boer; Cornelia H van den Ende; Thea P M Vliet Vlieland Journal: BMC Fam Pract Date: 2013-12-01 Impact factor: 2.497
Authors: Aniek A O M Claassen; Cornelia H M van den Ende; Jorit J L Meesters; Sanne Pellegrom; Brigitte M Kaarls-Ohms; Jacoba Vooijs; Gerardine E M P Willemsen-de Mey; Thea P M Vliet Vlieland Journal: BMC Health Serv Res Date: 2018-03-27 Impact factor: 2.655