Enhancing Patient-Centered Diabetes Care: Simulated Assessment of SEE-Diabetes, an Educational Decision Support System

Poster Number: P17
Presentation Time: 05:00 PM - 06:30 PM

Abstract Keywords: Evaluation, Patient Engagement and Preferences, User-centered Design Methods
Primary Track: Applications
Programmatic Theme: Clinical Informatics

Diabetes affects a substantial portion of the elderly population in the United States, with a significant gap observed in accessing diabetes self-management education and support (DSMES) within the first year of diagnosis. Previous studies have highlighted the lack of patient-centered DSMES during clinic visits, prompting the development of SEE-Diabetes (Support-Engage-Empower-Diabetes), a patient-centered educational tool tailored for older adults with diabetes. SEE-Diabetes aims to aid healthcare providers in delivering DSMES effectively, promoting patient involvement, and encouraging shared decision-making. Implemented in simulated clinical encounters at the University of Missouri Health Care, this feasibility study assessed SEE-Diabetes's acceptance, usability and preliminary efficacy in fostering patient engagement and collaborative goal setting.

The study involved 12 clinical encounters captured on video, including three simulated patients and four providers, analyzed using a mixed-methods approach. Results showed that active engagement with SEE-Diabetes by healthcare providers significantly improved shared decision-making and facilitated patient-centered goal setting. Providers who actively utilized SEE-Diabetes demonstrated higher scores on validated measures of patient involvement and shared decision-making compared to those who used it less frequently or solely for documentation.

Feedback from providers indicated positive perceptions of SEE-Diabetes, highlighting its concise, patient-centered approach. The study underscores the potential of SEE-Diabetes in enhancing patient-provider interactions and empowering patients to take a more active role in their healthcare decisions. Future plans involve further refinement of SEE-Diabetes and additional studies to evaluate its usability, feasibility, and clinical efficacy in real-world clinical settings across primary care and specialty care environments.

Speaker(s):
Min Soon Kim, PhD
University of Missouri

Author(s):
Min Soon Kim, PhD - University of Missouri; Uzma Khan, MD - University of Missouri-Columbia; Margaret Day, MD - University of Missouri - Columbia; Ploypun Narindrarangkura, MD, MS, PhD - Phramongkutklao College of Medicine; Siroj Dejhansathit, MD - University of Missouri; Eduardo Simoes - University of Missouri; Suzanne Boren, PhD, MHA, FACMI, FAMIA - University of Missouri;