Physician–patient communication at diagnosis of type 2 diabetes and its links to patient outcomes: New results from the global IntroDia® study

Polonsky, William H.; Capehorn, Matthew; Belton, Anne; Down, Su; Alzaid, Aus; Gamerman, Victoria; Nagel, Friedericke; Lee, Sang Hoon; Edelman, Steven V.

doi:10.1016/j.diabres.2017.03.016

Cited by 41 publications

(56 citation statements)

References 28 publications

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“…The second DAWN study (DAWN2) highlighted the need for an improvement in patient–provider interactions; for example, most providers (63%) agreed that there is a major need for better availability of resources for the provision of psychosocial support and that providers and patients differ considerably with regard to their perceptions about the support being given . The global IntroDia™ study investigated the effect of early patient–physician conversations on patient self‐care and self‐reported outcomes and found that better physician communication at the time of diagnosis, as recalled by patients, was linked to less diabetes distress, greater well being, and greater adherence to self‐care behaviors …”

Section: Introductionmentioning

confidence: 99%

“…One area of critical importance is medication adherence, and here there is specific evidence that patient–provider communication plays a key role . In particular, adherence to prescribed insulin regimens is known to be a significant issue.…”

Section: Introductionmentioning

confidence: 99%

“…4 The global IntroDia ™ study investigated the effect of early patient-physician conversations on patient self-care and self-reported outcomes and found that better physician communication at the time of diagnosis, as recalled by patients, was linked to less diabetes distress, greater well being, and greater adherence to self-care behaviors. 5 The importance of patient-provider communication and self-care behavior is reflected in the most recent American Diabetes Association (ADA)/European Association for the Study of Diabetes (EASD) position statement, which advocates a patient-centered approach that takes into account the patient's attitude and expected treatment efforts. 6 In order to be able to guide improvements and healthcare provider education to improve patient-provider communication, it would be valuable to understand which elements of the patientprovider interaction affect self-management behavior and, ultimately, clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…One area of critical importance is medication adherence, and here there is specific evidence that patient-provider communication plays a key role. 5,[7][8][9][10] In particular, adherence to prescribed insulin regimens is known to be a significant issue. For example, in a telephone survey of 1530 insulin-treated patients, one-third of patients reported missing shots at least one day in the past month, with an average of 3.3 days missed.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the role of the patient–physician relationship on insulin adherence and clinical outcomes in type 2 diabetes: Insights from the MOSAIc study

Linetzky¹,

Jiang

Funnell

et al. 2016

Journal of Diabetes

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Highlights• Patient perceptions of the quality of their interactions with their physicians have a significant association with total diabetes-related distress. Diabetes-related distress and patient-physician interactions have a significant independent association with insulin adherence and HbA1c level.• This study delineates specific aspects of the patient-physician interaction that are linked to diabetes-related distress, insulin adherence behavior, and glycemic control. Perceived physician inattention and lack of engagement (and diabetes-related distress) directly affect insulin adherence and glycemic control.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring the role of the patient–physician relationship on insulin adherence and clinical outcomes in type 2 diabetes: Insights from the MOSAIc study

Linetzky¹,

Jiang

Funnell

et al. 2016

Journal of Diabetes

Self Cite

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“…Patient-provider communication is directly linked to how patients engage with and make the changes recommended by health care professionals (8,(76)(77)(78)86). Providers who received education on collaborative communication reported better patient self-management outcomes (78).…”

Section: Use Language That Fosters Collaboration Between Patients Andmentioning

confidence: 99%

The Use of Language in Diabetes Care and Education

et al. 2017

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Language is powerful and can have a strong impact on perceptions as well as behavior. A task force, consisting of representatives from the American Association of Diabetes Educators (AADE) and the American Diabetes Association (ADA), convened to discuss language in diabetes care and education. This document represents the expert opinion of the task force. The literature supports the need for a language movement in diabetes care and education. There are effective ways of communicating about diabetes. This article provides recommendations for language used by health care professionals and others when discussing diabetes through spoken or written words—whether directed to people with diabetes, colleagues, or the general public, as well as research questions related to language and diabetes.

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Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter

Zulman

Haverfield

Shaw

et al. 2020

JAMA

170

173

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IMPORTANCE Time constraints, technology, and administrative demands of modern medicine often impede the human connection that is central to clinical care, contributing to physician and patient dissatisfaction.OBJECTIVE To identify evidence and narrative-based practices that promote clinician presence, a state of awareness, focus, and attention with the intent to understand patients.EVIDENCE REVIEW Preliminary practices were derived through a systematic literature review (from January 1997 to August 2017, with a subsequent bridge search to September 2019) of effective interpersonal interventions; observations of primary care encounters in 3 diverse clinics (n = 27 encounters); and qualitative interviews with physicians (n = 10), patients (n = 27), and nonmedical professionals whose occupations involve intense interpersonal interactions (eg, firefighter, chaplain, social worker; n = 30). After evidence synthesis, promising practices were reviewed in a 3-round modified Delphi process by a panel of 14 researchers, clinicians, patients, caregivers, and health system leaders. Panelists rated each practice using 9-point Likert scales (−4 to +4) that reflected the potential effect on patient and clinician experience and feasibility of implementation; after the third round, panelists selected their "top 5" practices from among those with median ratings of at least +2 for all 3 criteria. Final recommendations incorporate elements from all highly rated practices and emphasize the practices with the greatest number of panelist votes. FINDINGSThe systematic literature review (n = 73 studies) and qualitative research activities yielded 31 preliminary practices. Following evidence synthesis, 13 distinct practices were reviewed by the Delphi panel, 8 of which met criteria for inclusion and were combined into a final set of 5 recommendations: (1) prepare with intention (take a moment to prepare and focus before greeting a patient); (2) listen intently and completely (sit down, lean forward, avoid interruptions); (3) agree on what matters most (find out what the patient cares about and incorporate these priorities into the visit agenda); (4) connect with the patient's story (consider life circumstances that influence the patient's health; acknowledge positive efforts; celebrate successes); and (5) explore emotional cues (notice, name, and validate the patient's emotions). CONCLUSIONS AND RELEVANCEThis mixed-methods study identified 5 practices that have the potential to enhance physician presence and meaningful connection with patients in the clinical encounter. Evaluation and validation of the outcomes associated with implementing the 5 practices is needed, along with system-level interventions to create a supportive environment for implementation.

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Physician–patient communication at diagnosis of type 2 diabetes and its links to patient outcomes: New results from the global IntroDia® study

Cited by 41 publications

References 28 publications

Exploring the role of the patient–physician relationship on insulin adherence and clinical outcomes in type 2 diabetes: Insights from the MOSAIc study

Exploring the role of the patient–physician relationship on insulin adherence and clinical outcomes in type 2 diabetes: Insights from the MOSAIc study

The Use of Language in Diabetes Care and Education

Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter

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