The impact of sharing personalised clinical information with people with type 2 diabetes prior to their consultation: A pilot randomised controlled trial

Patient Educ Couns. 2016 Apr;99(4):591-599. doi: 10.1016/j.pec.2015.11.014. Epub 2015 Nov 18.

Abstract

Aim: To assess the impact of sharing personalised clinical information with people with type 2 diabetes prior to their out-patient consultation on patient involvement during the consultation, diabetes self-management self-efficacy and glycaemic control.

Methods: A pilot three-arm randomised controlled trial. The 'intervention booklet' group received a booklet including personalised clinical information, a 'general information booklet' control group received a booklet with no personalised clinical information and a 'usual care' control group received no written information.

Results: 136 people took part. The intervention group were significantly more likely to have shown the booklet to a 'significant other', (48% V 23%, p<0.05), brought the booklet with them to the clinic (85% V 35%, p<0.005) and to refer to the booklet during the consultation (45% V 13%, p<0.005). No significant differences in patient involvement during the consultation, diabetes management self-efficacy or glycaemic control were found between the three groups.

Conclusions: Although participants found it useful to receive their clinical results, no differences were found in the patient outcomes measured.

Practice implications: Further pilot work on the timing of the intervention, who it is targeted at and what outcomes are measured is warranted before proceeding to a full-scale RCT.

Keywords: Doctor-patient communication; Patient information; Patient-centered care; Type 2 diabetes.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / psychology*
  • Diabetes Mellitus, Type 2 / therapy
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Information Dissemination*
  • Male
  • Middle Aged
  • Monitoring, Physiologic / methods
  • Outcome Assessment, Health Care
  • Outpatients*
  • Pamphlets
  • Patient Participation*
  • Patient-Centered Care* / methods
  • Pilot Projects
  • Referral and Consultation
  • Self Care
  • Self Efficacy

Substances

  • Glycated Hemoglobin A