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Home Research Research Library Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study Patient and Clinician Perceptions of Prediabetes: A Mixed-Methods Primary Care Study 2019 Author(s) Roper, K L, Thomas, A R, Hieronymus, L, Brock, Audrey, and Keck, J Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 45(3):302-314 Source Diabetes Educator Purpose The purpose of the study was to assess patient and clinician perceptions of prediabetes in an academic family medicine practice. Data were collected in preparation for an implementation study to increase utilization of the National Diabetes Prevention Program (N-DPP). Methods In this mixed-methods study, discussions from 3 focus groups composed of patients with prediabetes were evaluated using thematic analysis for their understanding of and beliefs about prediabetes, care experiences, and attitudes toward N-DPP. Clinicians completed a Likert-scaled survey assessing attitudes and perceived barriers to providing prediabetes care. Results Among the 15 focus group participants, more than half were not aware of their diagnosis. Attitudes toward prediabetes were mixed: while many believed it was serious and elicited more fear than being “at risk,” others thought there were varying degrees of risk within the same diagnosis, making the diagnosis less impactful. Patients repeatedly expressed the perception that clinicians were not forthcoming about necessary behavior changes. Patients agreed on barriers to N-DPP, including scheduling and transportation. Clinicians (N = 31) concurred that patients lack awareness of their prediabetes diagnosis. They reported that time is available to screen all patients and that a prediabetes diagnosis is effective for advising patients of the need for lifestyle modification. There was consensus from both patients and clinicians that prediabetes is curable. Conclusions Increased patient awareness and patient-centered education is needed to overcome barriers to prediabetes care. To facilitate implementation of N-DPP referral processes, clinicians should clearly communicate risk, treatment information, and linkage to N-DPP as the suggested treatment plan. Read More ABFM Research Read all 2008 Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants Go to Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2020 Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants Go to Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants
Author(s) Roper, K L, Thomas, A R, Hieronymus, L, Brock, Audrey, and Keck, J Topic(s) Achieving Health System Goals, and Role of Primary Care Keyword(s) Quality Of Care Volume 45(3):302-314 Source Diabetes Educator
ABFM Research Read all 2008 Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants Go to Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants 2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation 2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices 2020 Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants Go to Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants
2008 Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants Go to Quality of diabetes care in family medicine practices: influence of nurse-practitioners and physician’s assistants
2019 Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation Go to Report from the FMAHealth Practice Core Team: Achieving the Quadruple Aim through Practice Transformation
2015 Fewer family physicians are in solo practices Go to Fewer family physicians are in solo practices
2020 Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants Go to Well‐Being in the Nation: A Living Library of Measures to Drive Multi‐Sector Population Health Improvement and Address Social Determinants