SEE-diabetes, a patient-centered diabetes self-management education and support for older adults: Findings and information needs from providers’ perspectives

• Published in: Diabetes & metabolic syndrome clinical research & reviews Vol. 16; no. 9; p. 102582
• Main Authors: Narindrarangkura, Ploypun, Boren, Suzanne A., Khan, Uzma, Day, Margaret, Simoes, Eduardo J., Kim, Min Soon
• Format: Journal Article
• Language: English
• Published: Elsevier Ltd 01.09.2022
• Subjects: Diabetes; Diabetes self-management education and support; Focus groups; Older adults; Patient-centered education; Survey; Survey; Focus groups; Diabetes; Patient-centered education; Older adults; Diabetes self-management education and support
• ISSN: 1871-4021; 1878-0334
• DOI: 10.1016/j.dsx.2022.102582

Diabetes self-management education and support (DSMES) can improve clinical and health outcomes of people with diabetes. However, DSMES has been underutilized because of many barriers. We aimed to develop a patient-centered educational aid, SEE-Diabetes (Support-Engage-Empower-Diabetes), that facilitates shared decision-making about DSMES between patient and provider during the follow-up visit. We investigated the information needs to inform the design of the SEE-Diabetes from the providers’ perspective. We conducted an online survey (N = 42) and three focus groups (N = 13) involving providers who have experience managing diabetes in older patients. Survey collected demographics and assessed knowledge of DSMES. During the subsequent focus groups, participants evaluated the Assessment and Plan section of three clinic notes of older people with diabetes. We also demonstrated the potential workflow of DSMES documentation using SEE-Diabetes during clinical practice. The survey showed 60% of providers were familiar with DSMES. Focus group findings showed clinic notes should convey concise information at an appropriate reading level, numbered problems, and less medical jargon to improve the readability of clinic notes. Application of SMART (Specific, Measurable, Attainable, Relevant, Time-bound) goals was suggested to deliver effective diabetes self-care information. Providers should consider adopting validated DSMES guidelines along with goal-setting strategies to provide patient-centered care. The research team will integrate the provider recommendations when we develop SEE-Diabetes. •Clinic notes can be used to communicate with patients as a tool to provide diabetes self-management education and support.•60% of providers were familiar with DSMES, and only 36% were aware of the ADCES 7 Self-Care Behaviors.•Most clinic notes provided incomplete DSMES information.•SEE-Diabetes educational aid was designed to help providers address patient-centered DSMES information during the visits.