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Empowerment, motivation, and medical adherence (EMMA): the feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes.

Varming AR, Hansen UM, Andrésdóttir G, Husted GR, Willaing I - Patient Prefer Adherence (2015)

Bottom Line: It was difficult to complete the EMMA consultations within the scheduled time.The EMMA program was feasible, usable, and acceptable to patients and HCPs.The use of tools elicited patients' perspectives and facilitated patient participation and shared decision-making.

View Article: PubMed Central - PubMed

Affiliation: Patient Education Research, Steno Diabetes Center, Gentofte, Denmark.

ABSTRACT

Purpose: To explore the feasibility of a research-based program for patient-centered consultations to improve medical adherence and blood glucose control in patients with type 2 diabetes.

Patients and methods: The patient-centered empowerment, motivation, and medical adherence (EMMA) consultation program consisted of three individual consultations and one phone call with a single health care professional (HCP). Nineteen patients with type 2 diabetes completed the feasibility study. Feasibility was assessed by a questionnaire-based interview with patients 2 months after the final consultation and interviews with HCPs. Patient participation was measured by 10-second event coding based on digital recordings and observations of the consultations.

Results: HCPs reported that EMMA supported patient-centered consultations by facilitating dialogue, reflection, and patient activity. Patients reported that they experienced valuable learning during the consultations, felt understood, and listened to and felt a trusting relationship with HCPs. Consultations became more person-specific, which helped patients and HCPs to discover inadequate diabetes self-management through shared decision-making. Compared with routine consultations, HCPs talked less and patients talked more. Seven of ten dialogue tools were used by all patients. It was difficult to complete the EMMA consultations within the scheduled time.

Conclusion: The EMMA program was feasible, usable, and acceptable to patients and HCPs. The use of tools elicited patients' perspectives and facilitated patient participation and shared decision-making.

No MeSH data available.


Related in: MedlinePlus

Patient ratings of experiences and importance of consultation parameters (N=17).
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f2-ppa-9-1243: Patient ratings of experiences and importance of consultation parameters (N=17).

Mentions: The majority of participants felt understood and listened to and felt a trusting relationship (16 (94%), 17 (100%), and 16 (94%) participants, respectively), and they also rated these parameters highly in terms of importance (Figure 2). Fourteen (82%) participants reported that they felt encouraged to reflect more on having diabetes, nine (53%) reported that they achieved more clarity regarding their situation and possibilities, and eleven (65%) felt that difficult issues were articulated. Feeling encouraged to reflect more on having diabetes and achieving more clarity on their situation and possibilities were also rated as important (by 16 (94%) and 17 (100%), respectively). With regard to the articulation of difficult issues, 13 (76%) participants found it to be important. With respect to participation (questions 8, 9, and 10 in Figure 2), one (6%) participant did not report concordance between experience and importance for general participation and contribution. Three (18%) and four (24%) participants expressed inconsistency between their experience and the importance of decision-making and goal-setting processes, respectively.


Empowerment, motivation, and medical adherence (EMMA): the feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes.

Varming AR, Hansen UM, Andrésdóttir G, Husted GR, Willaing I - Patient Prefer Adherence (2015)

Patient ratings of experiences and importance of consultation parameters (N=17).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4562751&req=5

f2-ppa-9-1243: Patient ratings of experiences and importance of consultation parameters (N=17).
Mentions: The majority of participants felt understood and listened to and felt a trusting relationship (16 (94%), 17 (100%), and 16 (94%) participants, respectively), and they also rated these parameters highly in terms of importance (Figure 2). Fourteen (82%) participants reported that they felt encouraged to reflect more on having diabetes, nine (53%) reported that they achieved more clarity regarding their situation and possibilities, and eleven (65%) felt that difficult issues were articulated. Feeling encouraged to reflect more on having diabetes and achieving more clarity on their situation and possibilities were also rated as important (by 16 (94%) and 17 (100%), respectively). With regard to the articulation of difficult issues, 13 (76%) participants found it to be important. With respect to participation (questions 8, 9, and 10 in Figure 2), one (6%) participant did not report concordance between experience and importance for general participation and contribution. Three (18%) and four (24%) participants expressed inconsistency between their experience and the importance of decision-making and goal-setting processes, respectively.

Bottom Line: It was difficult to complete the EMMA consultations within the scheduled time.The EMMA program was feasible, usable, and acceptable to patients and HCPs.The use of tools elicited patients' perspectives and facilitated patient participation and shared decision-making.

View Article: PubMed Central - PubMed

Affiliation: Patient Education Research, Steno Diabetes Center, Gentofte, Denmark.

ABSTRACT

Purpose: To explore the feasibility of a research-based program for patient-centered consultations to improve medical adherence and blood glucose control in patients with type 2 diabetes.

Patients and methods: The patient-centered empowerment, motivation, and medical adherence (EMMA) consultation program consisted of three individual consultations and one phone call with a single health care professional (HCP). Nineteen patients with type 2 diabetes completed the feasibility study. Feasibility was assessed by a questionnaire-based interview with patients 2 months after the final consultation and interviews with HCPs. Patient participation was measured by 10-second event coding based on digital recordings and observations of the consultations.

Results: HCPs reported that EMMA supported patient-centered consultations by facilitating dialogue, reflection, and patient activity. Patients reported that they experienced valuable learning during the consultations, felt understood, and listened to and felt a trusting relationship with HCPs. Consultations became more person-specific, which helped patients and HCPs to discover inadequate diabetes self-management through shared decision-making. Compared with routine consultations, HCPs talked less and patients talked more. Seven of ten dialogue tools were used by all patients. It was difficult to complete the EMMA consultations within the scheduled time.

Conclusion: The EMMA program was feasible, usable, and acceptable to patients and HCPs. The use of tools elicited patients' perspectives and facilitated patient participation and shared decision-making.

No MeSH data available.


Related in: MedlinePlus