Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care

Abstract Background Diabetes care has been traditionally focused on targeting certain levels of glycemic control. This narrow emphasis may impose burdens on patients, including high treatment costs, illness-related work, or side effects from medications, while leaving other patient needs and goals u...

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Autores principales:	Jennifer E. Clark, Kasey R. Boehmer, Maggie Breslin, Shanzay Haider, Weronika Pasciak, Derek Gravholt, Brianna B. Sanchez, Sandra A. Hartasanchez, Omar M. El Kawkgi, Victor Montori, Kasia J. Lipska
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Diabetes Patient-centered Conversation aid Clinical toolkit Chronic disease management Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7cd726222eab4866b957f3f7742c58e7
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spelling	oai:doaj.org-article:7cd726222eab4866b957f3f7742c58e72021-11-14T12:12:42ZQuality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care10.1186/s40814-021-00935-82055-5784https://doaj.org/article/7cd726222eab4866b957f3f7742c58e72021-11-01T00:00:00Zhttps://doi.org/10.1186/s40814-021-00935-8https://doaj.org/toc/2055-5784Abstract Background Diabetes care has been traditionally focused on targeting certain levels of glycemic control. This narrow emphasis may impose burdens on patients, including high treatment costs, illness-related work, or side effects from medications, while leaving other patient needs and goals under-addressed. The authors aim to shift the paradigm of care for people with diabetes, to focus on quality of life, burden of treatment, safety, and avoidance of future events: the QBSAfe domains. Methods We describe a single-arm pilot study to assess the feasibility and acceptability of using the QBSAfe agenda setting kit (ASK) during routine clinical visits. The set of 14 conversation aid cards was co-developed with patients, family caregivers, and clinicians. The ASK will be used in the context of a clinic visit, which will be recorded by members of the study team to identify patterns of clinician-patient conversations. Feasibility will be measured by the number of participants recruited, time to goal accrual, and completeness of data collection; acceptability will be assessed using post-visit surveys of patients and clinicians. A subgroup of patients will be invited to participate in post-visit qualitative semi-structured interviews for additional feedback. This study will be conducted across three medical centers in the Midwest and East Coast of the USA. Discussion Current healthcare infrastructure and associated demands and pressures on clinicians make changes in care difficult. However, this intervention has the potential to shift conversations during clinical encounters so they can address and directly respond to patient needs, symptoms, and capacity. As part of the QBSAfe ASK, the authors are also actively collaborating with a variety of stakeholders to create tools to help clinicians respond more effectively to patient concerns as they are raised during the clinical encounters. Additional insights about the use of the QBSAfe approach in the virtual space will be gathered during the process of our study due to restrictions imposed upon face to face visit during the COVID-19 pandemic. Trial registration ClinicalTrials.gov , NCT04514523 . Registered 17 August 2020—retrospectively registered.Jennifer E. ClarkKasey R. BoehmerMaggie BreslinShanzay HaiderWeronika PasciakDerek GravholtBrianna B. SanchezSandra A. HartasanchezOmar M. El KawkgiVictor MontoriKasia J. LipskaBMCarticleDiabetesPatient-centeredConversation aidClinical toolkitChronic disease managementMedicine (General)R5-920ENPilot and Feasibility Studies, Vol 7, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diabetes Patient-centered Conversation aid Clinical toolkit Chronic disease management Medicine (General) R5-920
spellingShingle	Diabetes Patient-centered Conversation aid Clinical toolkit Chronic disease management Medicine (General) R5-920 Jennifer E. Clark Kasey R. Boehmer Maggie Breslin Shanzay Haider Weronika Pasciak Derek Gravholt Brianna B. Sanchez Sandra A. Hartasanchez Omar M. El Kawkgi Victor Montori Kasia J. Lipska Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
description	Abstract Background Diabetes care has been traditionally focused on targeting certain levels of glycemic control. This narrow emphasis may impose burdens on patients, including high treatment costs, illness-related work, or side effects from medications, while leaving other patient needs and goals under-addressed. The authors aim to shift the paradigm of care for people with diabetes, to focus on quality of life, burden of treatment, safety, and avoidance of future events: the QBSAfe domains. Methods We describe a single-arm pilot study to assess the feasibility and acceptability of using the QBSAfe agenda setting kit (ASK) during routine clinical visits. The set of 14 conversation aid cards was co-developed with patients, family caregivers, and clinicians. The ASK will be used in the context of a clinic visit, which will be recorded by members of the study team to identify patterns of clinician-patient conversations. Feasibility will be measured by the number of participants recruited, time to goal accrual, and completeness of data collection; acceptability will be assessed using post-visit surveys of patients and clinicians. A subgroup of patients will be invited to participate in post-visit qualitative semi-structured interviews for additional feedback. This study will be conducted across three medical centers in the Midwest and East Coast of the USA. Discussion Current healthcare infrastructure and associated demands and pressures on clinicians make changes in care difficult. However, this intervention has the potential to shift conversations during clinical encounters so they can address and directly respond to patient needs, symptoms, and capacity. As part of the QBSAfe ASK, the authors are also actively collaborating with a variety of stakeholders to create tools to help clinicians respond more effectively to patient concerns as they are raised during the clinical encounters. Additional insights about the use of the QBSAfe approach in the virtual space will be gathered during the process of our study due to restrictions imposed upon face to face visit during the COVID-19 pandemic. Trial registration ClinicalTrials.gov , NCT04514523 . Registered 17 August 2020—retrospectively registered.
format	article
author	Jennifer E. Clark Kasey R. Boehmer Maggie Breslin Shanzay Haider Weronika Pasciak Derek Gravholt Brianna B. Sanchez Sandra A. Hartasanchez Omar M. El Kawkgi Victor Montori Kasia J. Lipska
author_facet	Jennifer E. Clark Kasey R. Boehmer Maggie Breslin Shanzay Haider Weronika Pasciak Derek Gravholt Brianna B. Sanchez Sandra A. Hartasanchez Omar M. El Kawkgi Victor Montori Kasia J. Lipska
author_sort	Jennifer E. Clark
title	Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
title_short	Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
title_full	Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
title_fullStr	Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
title_full_unstemmed	Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
title_sort	quality of life, burden of treatment, safety, and avoidance of future events (qbsafe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7cd726222eab4866b957f3f7742c58e7
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Quality of life, burden of treatment, safety, and avoidance of future events (QBSAfe) protocol: a pilot study testing an intervention to shift the paradigm of diabetes care

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