Patient-Centered Diabetes Education as an integral part of an Electronic Clinic Note using the SEE-Diabetes Modules

项目摘要/摘要 糖尿病自我管理教育和支持是糖尿病的核心组成部分 管理层。为了让糖尿病患者充分实现DSMES的临床和健康益处， 患者和提供者必须共同做出关于DSMES的决定。 该项目提出了SEE-糖尿病(支持-参与-授权-糖尿病)，一个教育决策 帮助老年糖尿病患者在与其提供者协商后选择DSMES 具有最大潜力实现临床和健康效益的战略。看-糖尿病将允许量身定做 在临床病历中展示以病人为中心的自我护理信息。该项目将涉及迭代 SEE-糖尿病的可行性评价。 目的1确定患者和提供者对SEE-糖尿病的信息需求 目标1将确定和了解初级保健患者和提供者的信息需求 和糖尿病专科护理。这一过程将确定(1)临床记录是否针对DSMES 相关、不相关和缺失的组件；(2)信息需求存在差异 正在审阅一份诊疗记录。 目标2开发和完善用于临床记录的SEE-糖尿病模块 Aim 2将反复开发SEE-糖尿病模块，以纳入EHR临床记录并促进 个性化护理。三个患者焦点小组和三个提供者焦点小组将反复评估 不同焦点组间SEE-糖尿病模块的内容效度、可读性和可用性。 目的3评价SEE-糖尿病治疗的可行性 目标3将评估SEE-糖尿病对患者和提供者的初步影响，他们对 见-糖尿病，以及研究方案的可行性，如招募和方法学问题。 通过录音观察临床接触将导致解决可行性研究结果 实施的障碍。 在这笔赠款结束时，该项目将有数据显示拟议的SEE-糖尿病的影响 与患者参与和实施障碍有关的短期结果。

Project Summary/Abstract Diabetes self-management education and support (DSMES) is a central component of diabetes management. For people with diabetes to fully achieve the clinical and health benefits of DSMES, patients and providers must make decisions about DSMES together. This project proposes SEE-Diabetes (Support-Engage-Empower-Diabetes), an educational decision aid that will enable older people with diabetes in consultation with their providers to choose a DSMES strategy with maximal potential to achieve clinical and health benefits. SEE-Diabetes will allow a tailored presentation of patient-centered self-care information in the clinic note. This project will involve iterative feasibility evaluation of SEE-Diabetes. Aim 1 Determine SEE-Diabetes information needs of patients and providers Aim 1 will identify and understand the information needs of patients and providers from primary care and diabetes specialty care. This process will determine if (1) the clinic note would address DSMES components relevant, irrelevant, and missing, (2) there are differences in information needs when they are reviewing a clinic note. Aim 2 Develop and refine SEE-Diabetes module for clinic note Aim 2 will iteratively develop SEE-Diabetes modules to incorporate into EHR clinic notes and facilitate personalized care. Three patient focus groups and three provider focus groups will iteratively evaluate content validity, readability, and usability of SEE-Diabetes modules between focus groups. Aim 3 Evaluate feasibility of SEE-Diabetes Aim 3 will evaluate preliminary effect of SEE-Diabetes on patient and provider, their responses to the SEE-Diabetes, and viability of study protocols such as recruitment and methodological issues. Observation of clinical encounters via audio recordings will result in feasibility findings to address barriers to implementation. At the end of this grant, the project will have data showing the impact of the proposed SEE-Diabetes on short-term outcomes of DSMES related to patient involvement and implementation barriers.