OBJECTIVE: To assess the feasibility and effectiveness of shared medical appointments (SMAs) among Hispanic patients with diabetes mellitus attending a family medicine residency clinic. STUDY DESIGN: Exploratory and descriptive study. METHODS:Hispanic patients having diabetes with poor glycemic control (glycated hemoglobin level, >7%) attending a family medicine residency clinic were randomized to an SMA group (n = 50) or a control group (n = 53).The main outcome was glycated hemoglobin level. Secondary outcomes were quality of life and diabetes knowledge. RESULTS: When comparing pre-post measures, there were mean decreases in glycated hemoglobin level of 1.19% for the SMA group (P <.01) and 0.67% for the control group (P = .02).In the SMA group, quality-of-life and diabetes knowledge scores increased by 5 and 1.5 points, respectively (P <.01). CONCLUSIONS: Implementing SMAs is feasible and effective among Hispanic patients with diabetes attending a family medicine residency clinic.Health plan managers and policy makers can work with family medicine residents to encourage the use of this model as an alternative approach or in addition to conventional one-on-one interactions with patients.
RCT Entities:
OBJECTIVE: To assess the feasibility and effectiveness of shared medical appointments (SMAs) among Hispanic patients with diabetes mellitus attending a family medicine residency clinic. STUDY DESIGN: Exploratory and descriptive study. METHODS: Hispanic patients having diabetes with poor glycemic control (glycated hemoglobin level, >7%) attending a family medicine residency clinic were randomized to an SMA group (n = 50) or a control group (n = 53).The main outcome was glycated hemoglobin level. Secondary outcomes were quality of life and diabetes knowledge. RESULTS: When comparing pre-post measures, there were mean decreases in glycated hemoglobin level of 1.19% for the SMA group (P <.01) and 0.67% for the control group (P = .02).In the SMA group, quality-of-life and diabetes knowledge scores increased by 5 and 1.5 points, respectively (P <.01). CONCLUSIONS: Implementing SMAs is feasible and effective among Hispanic patients with diabetes attending a family medicine residency clinic.Health plan managers and policy makers can work with family medicine residents to encourage the use of this model as an alternative approach or in addition to conventional one-on-one interactions with patients.
Authors: David Edelman; Jennifer M Gierisch; Jennifer R McDuffie; Eugene Oddone; John W Williams Journal: J Gen Intern Med Date: 2014-08-09 Impact factor: 5.128
Authors: Lauren S Prescott; Andrea S Dickens; Sandra L Guerra; Jila M Tanha; Desiree G Phillips; Katherine T Patel; Katie M Umberson; Miguel A Lozano; Kathryn B Lowe; Alaina J Brown; Jolyn S Taylor; Pamela T Soliman; Elizabeth A Garcia; Charles F Levenback; Diane C Bodurka Journal: Gynecol Oncol Date: 2015-11-05 Impact factor: 5.482
Authors: Matthew J Crowley; Stephanie D Melnyk; Cynthia J Coffman; Amy S Jeffreys; David Edelman Journal: Diabetes Care Date: 2013-02-07 Impact factor: 19.112
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