Use of patient-reported outcome measures (PROMs) in clinical diabetes consultations: the DiaPROM randomised controlled pilot trial
Hernar, Ingvild; Graue, Marit; Richards, David A; Strandberg, Ragnhild Bjarkøy; Nilsen, Roy Miodini; Rekdal, Magne; Løvaas, Karianne Fjeld; Madsen, Tone Vonheim; Tell, Grethe Seppola; Haugstvedt, Anne
Peer reviewed, Journal article
Published version
Åpne
Permanent lenke
https://hdl.handle.net/11250/2739299Utgivelsesdato
2021Metadata
Vis full innførselSamlinger
- Import fra CRIStin [3579]
- Institutt for helse- og omsorgsvitskap [2721]
Originalversjon
Hernar, I., Graue, M., Richards, D. A., Strandberg, R. B., Nilsen, R. M., Rekdal, M., Løvaas, K. F., Madsen, T. V., Tell, G. S., & Haugstvedt, A. (2021). Use of patient-reported outcome measures (PROMs) in clinical diabetes consultations: the DiaPROM randomised controlled pilot trial. BMJ Open, 11(4). 10.1136/bmjopen-2020-042353Sammendrag
Objective To pilot test the proposed DiaPROM trial components and address uncertainties associated with conducting a full-scale randomised controlled trial (RCT) to evaluate whether such a trial is feasible.
Design Two-arm pilot RCT.
Participants Adults aged ≥18–39 years, with minimum 1 year type 1 diabetes duration, attending outpatient follow-up. Exclusion criteria were pregnancy, severe cognitive, somatic or psychiatric conditions and impaired vision.
Randomisation and intervention All participants completed electronic Patient-Reported Outcome Measures (PROMs) prior to the annual diabetes consultation. Using computer-generated block-randomisation without blinding, we assigned participants in a 1:1 ratio stratified by sex to receive standard care or an intervention. Physicians reviewed diabetes distress scores (Problem Areas In Diabetes scale) and referred individuals with scores ≥30 or single item(s) ≥3 to minimum two diabetes nurse consultations where reported problems were reviewed and discussed.
Outcomes Recruitment and retention rates; participants perceptions about intervention components. Variance and estimated between-group differences in follow-up scores (Diabetes Distress Scale (DDS), WHO 5-Well-being Index, Perceived Competence for Diabetes Scale and glycaemic control) and DDS correlation with baseline scores, to assist sample size calculations.
Results We randomised 80 participants to the control or intervention arm (one participant was later excluded). 23/39 intervention arm participants qualified for additional consultations and 17 attended. 67/79 attended the 12-month follow-up (15.2% attrition); 5/17 referred to additional consultations were lost to follow-up (29.4% attrition). Participants reported PROMs as relevant (84.6%) and acceptable (97.4%) but rated the usefulness of consultations as moderate to low. Baseline mean±SD DDS score was 2.1±0.69; DDS SD was 0.71 (95% CI: 0.60 to 0.86) at follow-up; correlation between baseline and follow-up DDS scores was 0.8 (95% CI: 0.7 to 0.9).
Conclusions The pilot trial revealed need for intervention modifications ahead of a full-scale trial to evaluate use of PROMs in diabetes consultations. Specifically, participant acceptability and intervention implementation need further investigation.
Utgiver
BMJ Publishing GroupTidsskrift
BMJ OpenOpphavsrett
© Author(s) (or their employer(s)) 2021
Med mindre annet er angitt, så er denne innførselen lisensiert som Navngivelse-Ikkekommersiell 4.0 Internasjonal
Beslektede innførsler
Viser innførsler beslektet ved tittel, forfatter og emneord.
-
Self-reported diabetes self-management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes
Mohn, Jannike; Graue, Marit; Assmus, Jörg; Zoffmann, Vibeke; Thordarson, Hrafnkell B; Peyrot, Mark; Rokne, Berit (Peer reviewed; Journal article, 2015) -
Å leva godt med diabetes: Gruppebasert trening og undervisning for personar med type 2 diabetes: Evalueringsrapport
Kvinge, Lars Malvin; Tangeraas, Aslaug; Oftedal, Bjørg (Working paper, 2014-12-23)Våren 2012 starta Etne, Sauda, Suldal og Vindafjord på eit omfattande interkommunalt helsesamarbeid. Ein av målsettingane var å etablera nye førebyggjande tiltak som t.d. frisklivssentral. Ei av pasientgruppene med kroniske ... -
Using HbA1c measurements and the Finnish Diabetes Risk Score to identify undiagnosed individuals and those at risk of diabetes in primary care
Arnardóttir, Elín; Sigurðardóttir, Árún K.; Graue, Marit; Kolltveit, Beate-Christin Hope; Skinner, Timothy (Peer reviewed; Journal article, 2023)Background Prevalence of prediabetes and type 2 diabetes mellitus (T2DM) is increasing worldwide. The objective of this study was to determine the proportion of people in Northern Iceland with prediabetes, at risk of ...