Abstract
The group visits models one innovation in the field of chronic illness management that shows promise in meeting the growing demands for this type of care. Patients get significant peer and healthcare provider support during group visits. Group visits typically last 90 min and occur on a regularly scheduled basis. The study design was a quasi-experimental pre-post-test with a comparison group. Patients were recruited into either the intervention or control group. Patients self-selected which group they chose to participate in. The measurement data was collected at three time intervals: baseline, 3-months and 6-months. The control group received standard of care. Changes in clinical indicators and in patient self-efficacy were tested using Repeated Measures ANOVA. The intervention group receiving diabetes group visits showed statistically significant improvement in all variables with the exception of diastolic blood pressure. In order to achieve improved patient outcomes and reduce the socioeconomic burden of diabetes care, the group care model should be implemented as a standard of care in diabetes management.
Highlights
IntroductionA diagnosis of diabetes can require multiple changes in a person’s behavior, diet and lifestyle
The Centers for Disease Control and Prevention (CDC) predicts a dramatic increase in diabetes between 2010 and 2025 (CDC, 2015) and the Institute for Alternative Futures diabetes model estimates that the number of Americans living with diabetes will increase 64% by 2025 from 32,300,000 to 53,100,000 people
The purpose of this study was to evaluate whether group visits delivered as routine diabetes care and structured according to a systematic education approach, were more effective than individual appointments in improving metabolic control as evidenced by reduction of Hemoglobin A1C (A1C), Low Density Lipoprotein (LDL), Blood Pressure (BP) and improved self -efficacy in adult patients with type 2 diabetes
Summary
A diagnosis of diabetes can require multiple changes in a person’s behavior, diet and lifestyle. Efforts to sustain these changes and manage this complex chronic disease can be difficult. In which several patients meet together with a primary care provider and interdisciplinary team, have tremendous potential to improve health care quality, cost and access. When group based diabetes self-management education and a primary care visit occur within a single appointment, people with the disease can address multiple needs in one visit and take advantage of peer groups for support and motivation. Healthy People 2020 and the American Diabetes Association outline (ADA, 2015) several objectives to improve the quality of life and reduce the disease burden for all people with diabetes
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