Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults

Introduction Intensive glucose lowering in older adults with diabetes leads to increased risks with minimal benefits. Surveys indicate that clinician confidence for individualizing glycemic goals and regimens remains low. We created an interactive workshop and clinical tool kit to improve clinician...

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Autores principales:	Laura K. Triantafylidis, Sarah C. Phillips, Chelsea E. Hawley, Andrea Wershof Schwartz
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2019
Materias:	Older Adults Diabetes Geriatric Diabetes Deprescribing Deprescriptions Safe Prescribing Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/13a3dbae9bd646038850ea1a15ad474e
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spelling	oai:doaj.org-article:13a3dbae9bd646038850ea1a15ad474e2021-11-22T14:00:41ZFinding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults10.15766/mep_2374-8265.108452374-8265https://doaj.org/article/13a3dbae9bd646038850ea1a15ad474e2019-10-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10845https://doaj.org/toc/2374-8265Introduction Intensive glucose lowering in older adults with diabetes leads to increased risks with minimal benefits. Surveys indicate that clinician confidence for individualizing glycemic goals and regimens remains low. We created an interactive workshop and clinical tool kit to improve clinician knowledge of safe diabetes management in older adults. Methods Finding the Sweet Spot was a 1-hour workshop taught by pharmacists to medical and pharmacy learners that introduced a five-step framework for diabetes management in older adults. The interactive presentation included cases and a clinical tool kit based on current recommendations from the American Diabetes Association and American Geriatrics Society. Pilot workshops were held for 6 months, allowing for real-time revisions based on feedback; final implementation occurred for 6 months thereafter. We evaluated learner self-efficacy (via a 5-point Likert scale) and knowledge (via multiple-choice questions) of diabetes management in older adults before and after the workshop. Results Thirty learners participated in Finding the Sweet Spot (70% medicine, 30% pharmacy). The percentage of confident learners increased from 55% to 97% (p < .05) after the workshop. All learners demonstrated improvements in knowledge, with the mean score on the knowledge assessment increasing from 61% to 80% (p < .05). Via open-ended feedback, learners expressed satisfaction and found the clinical tool kit especially helpful. Discussion Our Finding the Sweet Spot workshop demonstrated statistically significant changes in self-efficacy and knowledge among learners, indicating that this interactive workshop improves medical and pharmacy provider confidence and skills in caring for older adults with diabetes.Laura K. TriantafylidisSarah C. PhillipsChelsea E. HawleyAndrea Wershof SchwartzAssociation of American Medical CollegesarticleOlder AdultsDiabetesGeriatric DiabetesDeprescribingDeprescriptionsSafe PrescribingMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 15 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Older Adults Diabetes Geriatric Diabetes Deprescribing Deprescriptions Safe Prescribing Medicine (General) R5-920 Education L
spellingShingle	Older Adults Diabetes Geriatric Diabetes Deprescribing Deprescriptions Safe Prescribing Medicine (General) R5-920 Education L Laura K. Triantafylidis Sarah C. Phillips Chelsea E. Hawley Andrea Wershof Schwartz Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
description	Introduction Intensive glucose lowering in older adults with diabetes leads to increased risks with minimal benefits. Surveys indicate that clinician confidence for individualizing glycemic goals and regimens remains low. We created an interactive workshop and clinical tool kit to improve clinician knowledge of safe diabetes management in older adults. Methods Finding the Sweet Spot was a 1-hour workshop taught by pharmacists to medical and pharmacy learners that introduced a five-step framework for diabetes management in older adults. The interactive presentation included cases and a clinical tool kit based on current recommendations from the American Diabetes Association and American Geriatrics Society. Pilot workshops were held for 6 months, allowing for real-time revisions based on feedback; final implementation occurred for 6 months thereafter. We evaluated learner self-efficacy (via a 5-point Likert scale) and knowledge (via multiple-choice questions) of diabetes management in older adults before and after the workshop. Results Thirty learners participated in Finding the Sweet Spot (70% medicine, 30% pharmacy). The percentage of confident learners increased from 55% to 97% (p < .05) after the workshop. All learners demonstrated improvements in knowledge, with the mean score on the knowledge assessment increasing from 61% to 80% (p < .05). Via open-ended feedback, learners expressed satisfaction and found the clinical tool kit especially helpful. Discussion Our Finding the Sweet Spot workshop demonstrated statistically significant changes in self-efficacy and knowledge among learners, indicating that this interactive workshop improves medical and pharmacy provider confidence and skills in caring for older adults with diabetes.
format	article
author	Laura K. Triantafylidis Sarah C. Phillips Chelsea E. Hawley Andrea Wershof Schwartz
author_facet	Laura K. Triantafylidis Sarah C. Phillips Chelsea E. Hawley Andrea Wershof Schwartz
author_sort	Laura K. Triantafylidis
title	Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
title_short	Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
title_full	Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
title_fullStr	Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
title_full_unstemmed	Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults
title_sort	finding the sweet spot: an interactive workshop on diabetes management in older adults
publisher	Association of American Medical Colleges
publishDate	2019
url	https://doaj.org/article/13a3dbae9bd646038850ea1a15ad474e
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Finding the Sweet Spot: An Interactive Workshop on Diabetes Management in Older Adults

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