Making sense of diabetes medication decisions: a mixed methods cluster randomized trial using a conversation aid intervention.

ABSTRACT:

Purpose

To determine the effectiveness of a shared decision-making (SDM) tool versus guideline-informed usual care in translating evidence into primary care, and to explore how use of the tool changed patient perspectives about diabetes medication decision making.

Methods

In this mixed methods multicenter cluster randomized trial, we included patients with type 2 diabetes mellitus and their primary care clinicians. We compared usual care with or without a within-encounter SDM conversation aid. We assessed participant-reported decisions made and quality of SDM (knowledge, satisfaction, and decisional conflict), clinical outcomes, adherence, and observer-based patient involvement in decision-making (OPTION12-scale). We used semi-structured interviews with patients to understan

SUBMITTER: Kunneman M 

PROVIDER: S-EPMC8428215 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature