Improving Medical Training for the Care of Chronic Conditions

NCT00676208 | Completed Results

• 1 other identifier: SHP 08-141
• Study Type: interventional
• Target: 33
• Locations: 1 country
• Sites: 1

Brief Summary

While medical training has increasingly included chronic care management, quality care necessitates education approaches that go farther. In April 2005, the Louis Stokes Cleveland Veterans Affairs Medical Center (VAMC) implemented a weekly Diabetes Shared Medical Appointment (SMA). SMAs offer an important opportunity to improve chronic care and a unique setting for training physicians. In order to equip physicians with needed resources to manage chronic care, the ways in which SMA experiences are processed and integrated into learning about interdisciplinary approaches and expanding trainees' understanding of chronic care issues need to be examined.

Conditions

Diabetes Mellitus

Keywords

Shared Medical Appointments; Diabetes; Education

Outcome Measures

Primary Outcomes (1)

• Change in Confidence in Ability to Perform Teamwork

  A three item scale was used to assess confidence in ability to convey logic of recommendations to other providers, explain one's distinctive perspective, and be accountable to patients for a decision made by a colleague from another discipline. The responses for each item ranged from 'not at all confident' (0) to 'very confident' (4), with higher values indicating more confidence. The total scale ranged from 0 to 16 with higher being more confident. Difference scores were analyzed (post-pre) with positive and higher values indicating more favorable change.

  Pre-intervention and Post-Intervention at 1 month

Secondary Outcomes (1)

• Change in Professionals' Attitudes About Diabetes

  Pre-intervention and Post-intervention at 1 month

Study Arms (2)

Shared Medical Appointments

EXPERIMENTAL

Medical students participated in shared medical appointments for patients with diabetes for one month.

Behavioral: Shared Medical Appointments

No shared medical appointments

NO INTERVENTION

Medical students in this arm did not participate in shared medical appointments.

Interventions

Shared Medical Appointments BEHAVIORAL

Participated in shared appointments for patients as part of interprofessional team providing care for diabetes

Shared Medical Appointments

Eligibility Criteria

• Age: 20 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Medical Students:

You may not qualify if:

• medical students who have participated in SMAs for patients with diabetes at the Cleveland VAMC in the past.

Sponsors & Collaborators

• VA Office of Research and Development: lead

Study Sites (1)

Louis Stokes VA Medical Center, Cleveland, OH

Cleveland, Ohio, 44106, United States

Location

Related Publications (1)

• Watts SA, Gee J, O'Day ME, Schaub K, Lawrence R, Aron D, Kirsh S. Nurse practitioner-led multidisciplinary teams to improve chronic illness care: the unique strengths of nurse practitioners applied to shared medical appointments/group visits. J Am Acad Nurse Pract. 2009 Mar;21(3):167-72. doi: 10.1111/j.1745-7599.2008.00379.x.

  PMID: 19302693 RESULT

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Shared Medical Appointments

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Patient Care; Therapeutics; Appointments and Schedules; Organization and Administration; Health Services Administration; Practice Management, Medical; Practice Management; Professional Practice

Limitations and Caveats

The small sample sizes and the reliance on one site for the data. This was a pilot study, both limitations were recognized from the outset and indeed seen as an advantage given the focus on trying to identify measures to include in a larger study.

Results Point of Contact

• Title: Michelle Davidson
• Organization: Louis Stokes VA Medical Center

michelle.davidson@va.gov

(216) 791-2300

Study Officials

• David C Aron, MD MS

  Louis Stokes VA Medical Center, Cleveland, OH

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 7, 2008
• First Posted: May 12, 2008
• Study Start: April 1, 2008
• Primary Completion: September 1, 2008
• Study Completion: February 1, 2012
• Last Updated: September 23, 2021
• Results First Posted: December 4, 2014

Record last verified: 2021-08

Locations

US (1)