Diabetes and obesity
Diabetes conversation cards improved clinician satisfaction but not care fit
In a trial, diabetes conversation cards improved clinician satisfaction but did not improve care fit or clinical outcomes at 6 months.
A cluster randomized trial found that agenda-setting conversation cards improved clinician satisfaction, but not care fit or clinical outcomes, for adults with type 2 diabetes. The kit contained 14 cards about life with diabetes and its treatment. Patients selected up to three concerns to discuss during a routine primary care visit.
At 6 months, mean Illness Intrusiveness Ratings Scale scores were 32.1 in the intervention group and 37.1 in the control group. Mean HbA1c levels were 8.8% and 9.1%, respectively. The report said these outcomes did not differ significantly between groups. In the intervention group, 62.2% of clinicians strongly agreed they were satisfied with the visit, compared with 19.1% in the control group. Patient satisfaction was high and did not differ between groups. The researchers said further clinical and community support may be needed to address concerns raised during visits.
