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

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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.