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

使用 SEE-糖尿病模块将以患者为中心的糖尿病教育作为电子临床记录的组成部分

基本信息

批准号：
10598095
负责人：
Min Soon Kim
金额：
$ 14.85万
依托单位：
UNIVERSITY OF MISSOURI-COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-01 至 2025-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10598095
关键词：
Patient Centered Diabetes Education integral

项目摘要

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.

项目总结/摘要糖尿病自我管理教育和支持（DSMES）是糖尿病的核心组成部分管理对于糖尿病患者来说，要充分实现DSMES的临床和健康益处，患者和供应商必须共同做出关于DSMES的决定。该项目提出了SEE-Diabetes（支持-参与-授权-糖尿病），这是一项教育决策帮助老年糖尿病患者与其提供者协商，选择DSMES 最大可能实现临床和健康效益的战略。SEE-Diabetes将允许定制在临床记录中呈现以患者为中心的自我护理信息。该项目将涉及迭代 SEE-糖尿病的可行性评估。目的1确定SEE-糖尿病患者和提供者的信息需求目标1将确定和了解病人和初级保健提供者的信息需求糖尿病专科护理该过程将确定（1）诊所记录是否涉及DSMES 成分相关，不相关，缺失，（2）有差异的信息需求时，他们正在看一份门诊记录目的2开发和完善SEE-Diabetes模块用于临床记录目标2将迭代开发SEE-Diabetes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 SEE-Diabetes模块的内容有效性、可读性和可用性。目的3评价SEE-糖尿病的可行性目的3将评估SEE-Diabetes对患者和提供者的初步影响， SEE-Diabetes和研究方案的可行性，如招募和方法学问题。通过录音观察临床就诊将得出可行性结果，以解决执行的障碍。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 DSMES的短期结果与患者参与和实施障碍有关。