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Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus.

Publication ,  Journal Article
Drake, C; Meade, C; Hull, SK; Price, A; Snyderman, R
Published in: South Med J
November 2018

OBJECTIVES: This study describes the feasibility of implementing personalized health planning (PHP) within shared medical appointments (SMAs) for patients with type 2 diabetes mellitus. The PHP-SMA approach was designed to synergize the benefits of SMAs with those of PHP, enabling greater patient engagement focused on meeting individualized therapeutic goals in a group setting. METHODS: Patients were assigned randomly to a PHP-SMA or a standard eight-session SMA series. Standard SMAs included an interactive educational curriculum delivered in group medical encounters. The PHP-SMA included the addition of a patient self-assessment, health risk assessment, shared patient-provider goal setting, creation of a personal health plan, and follow-up on clinical progress. Clinical and patient-reported outcomes and qualitative data from focus groups with patients, providers, and administrative staff were used for evaluation. Qualitative data explored facilitators and barriers to implementation of the PHP-SMA. The Consolidated Framework for Implementation Research was used to provide insight into implementation factors. RESULTS: PHP was successfully integrated into SMAs in a primary care setting. Patients in the PHP-SMA (n = 12) were more likely to attend ≥5 sessions than patients assigned to the standard SMA (n = 7; 58% PHP, 28.5% control). Qualitative data evaluation described the advantages and barriers to PHP, the team-based approach to care, and patient participation. The PHP-SMA group experienced reductions in hemoglobin A1c, low-density lipoprotein, blood pressure, and body mass index, as well as successful attainment of health goals. CONCLUSIONS: The PHP-SMA is a proactive and participatory approach to chronic care delivery that synergizes the benefits of PHP within SMAs. This study describes the components of this intervention; collects evidence on feasibility, acceptability, and clinical outcomes; and identifies implementation barriers and facilitators. The PHP-SMA warrants further evaluation as an approach to improve health outcomes in patients with common chronic conditions.

Duke Scholars

Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

November 2018

Volume

111

Issue

11

Start / End Page

674 / 682

Location

United States

Related Subject Headings

  • Quality Assurance, Health Care
  • Primary Health Care
  • Precision Medicine
  • Patient Satisfaction
  • Patient Care Planning
  • Office Visits
  • Male
  • Humans
  • Group Processes
  • General & Internal Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Drake, C., Meade, C., Hull, S. K., Price, A., & Snyderman, R. (2018). Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus. South Med J, 111(11), 674–682. https://doi.org/10.14423/SMJ.0000000000000892
Drake, Connor, Caroline Meade, Sharon K. Hull, Ashley Price, and Ralph Snyderman. “Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus.South Med J 111, no. 11 (November 2018): 674–82. https://doi.org/10.14423/SMJ.0000000000000892.
Drake C, Meade C, Hull SK, Price A, Snyderman R. Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus. South Med J. 2018 Nov;111(11):674–82.
Drake, Connor, et al. “Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus.South Med J, vol. 111, no. 11, Nov. 2018, pp. 674–82. Pubmed, doi:10.14423/SMJ.0000000000000892.
Drake C, Meade C, Hull SK, Price A, Snyderman R. Integration of Personalized Health Planning and Shared Medical Appointments for Patients with Type 2 Diabetes Mellitus. South Med J. 2018 Nov;111(11):674–682.

Published In

South Med J

DOI

EISSN

1541-8243

Publication Date

November 2018

Volume

111

Issue

11

Start / End Page

674 / 682

Location

United States

Related Subject Headings

  • Quality Assurance, Health Care
  • Primary Health Care
  • Precision Medicine
  • Patient Satisfaction
  • Patient Care Planning
  • Office Visits
  • Male
  • Humans
  • Group Processes
  • General & Internal Medicine