© 2004 BMJ Publishing Group Ltd.
Quality improvement
Review: interventions focusing on patient behaviours in provider patient interactions improve diabetes outcomes
van Dam HA, van der Horst F, van den Borne B, et al. Provider-patient interaction in diabetes care: effects on patient self-care and outcomes. A systematic review. Patient Educ Couns 2003;51:17–28.[CrossRef][Medline]
Q In patients with diabetes, do experimental modifications of provider patient interactions improve patient behaviours and health outcomes?
IM/Ambulatory care Endocrine
Key Words: patient centred care • physician-patient relations • diabetes mellitus (non-insulin dependent)
| The first 150 words of the full text of this article appear below. |
Data sources:
4 electronic databases and the bibliographies of retrieved studies.
Study selection and assessment:
randomised controlled trials (RCTs) or quasi-experimental studies of modifications of provider patient interaction, provider consulting style, or patient education in patients with type 2 diabetes that assessed effects on diabetes outcomes. Study quality was assessed (maximum score 19 points).
Outcomes:
patient behaviours (participation in care, adherence to professional advice, self care, self monitoring of blood glucose, insulin or other medication use, exercise, diet, and other lifestyle modifications); patient biomedical issues (glycaemic control, cardiovascular risk factors, complications, hospital admission, and mortality); patient functional measures (physical, emotional, social, and professional); psychological measures (satisfaction, well being, depression, anxiety, mental health, and quality of life); provider adherence to guidelines; and provider behaviour, satisfaction, and attitudes.
8 RCTs (4 on provider behaviour, 4 on patient behaviour) met the selection criteria. The quality score ranged from 13 to 19 points (mean
Mayo Clinic College of Medicine
Rochester, Minnesota, USA
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