Navigation Links
Mayo Clinic Clinicians Develop New Decision Aid Tool to Help Type 2 Diabetes Patients
Date:10/15/2009

ROCHESTER, Minn., Oct. 15 /PRNewswire-USNewswire/ -- Mayo Clinic clinicians and designers, along with colleagues from other institutions, have developed and tested a tool to involve patients more in their diabetes treatment and medication choices. The tool, a set of decision aid cards, could help patients make decisions involving their disease and perhaps lead to better outcomes. The results of this randomized trial are in September's issue of Archives of Internal Medicine (http://archinte.ama-assn.org/cgi/content/full/169/17/1560).

(Logo: http://www.newscom.com/cgi-bin/prnh/20090105/MAYOLOGO)

Victor Montori, M.D., a Mayo Clinic endocrinologist in Rochester, is co-author of the study. He heads the Knowledge Encounter Research Unit (KER) in the Department of Medicine and is a member of the Center for Innovation at Mayo Clinic in Rochester. You can watch Dr. Montori and study coordinator Rebecca Mullan discuss the trial on this video on YouTube: http://www.youtube.com/watch?v=60d0RmQtw6k.

The Trial

The trial was conducted at 11 primary care and family medicine sites within Mayo Health System and Olmsted Medical Center, all in southeast Minnesota. Twenty-one clinicians and eighty-five patients participated in the trial with thirty-seven patients receiving "usual care" and forty-eight patients using the decision aid cards. Health care clinicians, consisting of physicians, physician assistants and nurse practitioners, were responsible for managing diabetes in adult patients with medication options. The Diabetes Medication Choice decision aid cards were used to help patients and their clinician reach a decision regarding their course of care.

The cards were created by an innovative team of patients, clinicians, educators and designers. The tool consists of six cards that describe the possible effects of various medication choices on six outcomes: weight change, low blood sugar, blood sugar, daily routine, daily sugar testing and side effects.

Clinicians were randomized to either use the decision aid cards (intervention) or discuss medications as usually done (control). Data was gathered from a self-administered written survey completed by patients immediately after the patient's visit. Compared with the control patients, those who used the cards found them helpful and felt they were more involved in making decisions about their diabetes medication. While both groups had near-perfect adherence to their medication use, the cards were effective in involving patients with type 2 diabetes in the decision making and are a promising tool for better patient outcomes.

The cards, originally created as a list of medication options, changed during their design. "The cards morphed from [originally] being a set of cards about medications with somewhat unpronounceable names into a set of cards about issues that might be important to people with type 2 diabetes," says Maggie Breslin, a designer in the SPARC Design Studio in the Mayo Clinic Center for Innovation. SPARC stands for See, Plan, Act, Refine, and Communicate and is the first design studio to be integrated into a medical practice setting, allowing the designers/researchers to work directly with patients in a care setting. She says the cards provided a much easier starting point for patients to better communicate with their care providers. You can view Breslin discussing the cards on YouTube at: http://www.youtube.com/watch?v=AMcCLhEZdC8.

The initial randomized trial of the Diabetes Medication Choice decision aid cards was inconclusive because both patient groups had near-perfect adherence to their medication use. However, the Agency for Healthcare Research and Quality (AHRQ) recently awarded a grant to the team to further evaluate the efficacy of these cards in rural primary care practices in southeastern Minnesota.

Dr. Montori says, "We are going to see if these same tools can impact the health of patients with diabetes in rural communities in southeastern Minnesota . . . to see if these decision aids can in fact provide better patient-centered care for patients with diabetes."

Other trial co-authors are: Sandra Bryant; Laurie Pencille; Nilay Shah, Ph.D.; Steven Smith, M.D.; Robert Stroebel, M.D.; and Victor Yapuncich, M.D., all from Mayo Clinic; Gordon Guyatt, M.D., McMaster University, Hamilton, Ontario; Lilisbeth Perestelo-Peres, Ph.D., Canary Islands Health Service and CIBER en Epidemiologia y Salud Publica, Tenerife, Spain; Barbara Yawn, M.D., Olmsted Medical Center, Rochester, Minn.; and the Department of Family and Community Health, University of Minnesota, Minneapolis.

The study was funded by an American Diabetes Association grant.

About Mayo Clinic

Mayo Clinic is the first and largest integrated, not-for-profit group practice in the world. Doctors from every medical specialty work together to care for patients, joined by common systems and a philosophy of "the needs of the patient come first." More than 3,300 physicians, scientists and researchers and 46,000 allied health staff work at Mayo Clinic, which has sites in Rochester, Minn.; Jacksonville, Fla.; and Scottsdale/Phoenix, Ariz. Collectively, the three locations treat more than half a million people each year. To obtain the latest news releases from Mayo Clinic, go to www.mayoclinic.org/news. For information about research and education, visit www.mayo.edu. MayoClinic.com (www.mayoclinic.com) is available as a resource for your health stories.

SOURCE Mayo Clinic


'/>"/>
SOURCE Mayo Clinic
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Anemia and tropical diseases; Is pharmacogenomics ready for the clinic?
2. Radiologists encouraged to look beyond cancer for clinically unseen diseases
3. Clinical depression linked to abnormal emotional brain circuits
4. Preclinical study suggests organ-transplant drug may aid in lupus fight
5. Mayo Clinic researchers discover new diagnostic test for detecting infection in prosthetic joints
6. AASM encourages those student-athletes at risk for developing osa to visit a sleep clinic
7. Thailand: Partners Open Free AIDS Treatment Clinic in Renowned AIDS Temple in Lop Buri
8. MinuteClinic Becomes Participating Provider with Assurant Health
9. Therap Services Continues to Hire Experienced Developmental Disability Industry Clinicians for its Customer Support Team
10. Acupuncturists Relocation Tightens Relationship With Fertility Clinic
11. Cardiovascular Technologies to be Highlighted at 5th Annual Cleveland Clinic Medical Innovation Summit, Oct. 1-3
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/27/2017)... ... March 27, 2017 , ... ... behind the New England Journal of Medicine and NEJM Journal Watch, announces the ... Board Review was created by a panel of pediatricians from leading medical centers. ...
(Date:3/27/2017)... , ... March 27, 2017 , ... ... comprehensive weight management program at Women’s Excellence will help patients lose weight and ... physical exam. The specialists at Women's Excellence will measure BMI, body fat ...
(Date:3/27/2017)... CA (PRWEB) , ... March 27, 2017 , ... Janet Schloz is still in shock ... the best days I’ve had in a long time,” she said. , She thinks the ... of money that I never thought I would have to help my students.” , The ...
(Date:3/27/2017)... ... March 27, 2017 , ... ?Grow Healthy ... resolve the pending litigation between itself and 1800 Vending DBA Healthy You Vending. ... “I am thrilled to announce that we have now reached a settlement agreement ...
(Date:3/26/2017)... ... 2017 , ... Local physician Dr. Justin Harper is one ... honoring the top influencers on RealSelf—the most trusted online destination to get informed ... , In 2016, more than 82 million people visited RealSelf to research cosmetic ...
Breaking Medicine News(10 mins):
(Date:3/27/2017)... 27, 2017 Cota Healthcare, the ... precision medicine, today announced the signing of ... Corporation to help improve clinical and cost ... As part of this agreement, which expands ... into January 2016, teams from across Novartis ...
(Date:3/24/2017)... Research and Markets has announced the ... report to their offering. ... The Cell Therapy Manufacturing Market, 2017-2027 report ... cell therapy manufacturing and focuses both on contract manufacturers and ... anticipated to emerge as viable alternatives to conventional treatment options. ...
(Date:3/24/2017)... and Markets has announced the addition of the "Global Wound Care ... to their offering. ... global wound care market was worth $24,482.9 million in 2015 and it ... Among the various wound care products type, the advanced wound care ... Among the various applications, surgical wound segment held the largest share in ...
Breaking Medicine Technology: