Banerjee, Elaine, MD, MPH

Burgess, Nicole

Careyva, Beth, M.D.

Davis, Allison

Johnson, Melanie B, MPA

Shaak, Kyle, BS

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksResearch Scholars Poster PresentationPrediabetes: A Shared Prescription for Health forPrimary Care PatientsAllison DavisLehigh Valley Health Network, Allison.Davis@lvhn.orgBeth Careyva M.D.Lehigh Valley Health Network, beth_a.careyva@lvhn.orgMelanie B. Johnson MPALehigh Valley Health Network, Melanie_B.Johnson@lvhn.orgKyle Shaak BSLehigh Valley Health Network, Kyle.Shaak@lvhn.orgElaine Banerjee MD, MPHLehigh Valley Health Network, Elaine_S.Banerjee@lvhn.orgSee next page for additional authorsFollow this and additional works at: https://scholarlyworks.lvhn.org/research-scholars-postersThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtDavis, A., Careyva, B., Johnson, M., Shaak, K., Banerjee, E., Burgess, N., (2018, August, 3) Prediabetes: A Shared Prescription for Healthfor Primary Care Patients. Poster presented at LVHN Research Scholar Poster, Lehigh Valley Health Network, Allentown, PA.AuthorsAllison Davis; Beth Careyva M.D.; Melanie B. Johnson MPA; Kyle Shaak BS; Elaine Banerjee MD, MPH; andNicole BurgessThis poster is available at LVHN Scholarly Works: https://scholarlyworks.lvhn.org/research-scholars-posters/579Lehigh Valley Health Network, Allentown, Pennsylvania• Prediabetes is defined as “when blood glucose levels are higher than normal, but not yet high enough to be diagnosed as diabetes” [1].• It is estimated that by the year 2030 more than 470 million people in the U.S. will have prediabetes [2].• Prediabetes is associated with complications of the eyes, kidneys, blood vessels, and heart, as well as the risk of the progression to diabetes [2].• Shared decision making (SDM) allows patients to have an informed voice in their healthcare with the support of their physician [3]. • A Patient and Stakeholder Advisory Committee (PASAC) incorporates patients and professionals from various fields to give different viewpoints.The purpose of this study is to create a tool that will inform patients about prediabetes as well as share the pros and cons of various treatment options.1. American Diabetes Association (2016, November 21). Diagnosing Diabetes and Learning About Prediabetes. Retrieved June 27, 2018, from http://www.diabetes.org/diabetes-basics/diagnosis/2. Tabák, A. G., Dr, Herder, C., PhD, Rathmann, W., MD, Brunner, E. J., PhD, & Kivimaki, M., Prof. (n.d.). Prediabetes: A high-risk state for diabetes development. Retrieved from https://intranet.lvh.com/,DanaInfo=resolver.ebscohost.comopenurl?sid=google&auinit=AG&aulast=Tabák&atitle=Prediabetes: a high-risk state for diabetes development&id=doi:10.1016/S0140-6736(12)60283-9&title=The Lancet&volume=379&issue=9833&date=2012&spage=2279&site=ftf-live3. Coulter, A., Collins, A. (2011). Making Shared Decision-Making a Reality. London: King’s Fund. • Overall, the novel tool facilitated prediabetes discussions• 97% of patients felt they had an important role in the decision making process– indicating that the tool assists in SDM• 36 out of 38 patients tested felt that the prediabetes decision aid prepared them to decide which method to use to treat their diabetes– indicating that the tool is informative• All patients agreed that the SDM tool helped identify pros and cons of each treatment option to prevent diabetes-- enhancing the patients’ ability to make an informed decision on how to treat their disease.BACKGROUNDMETHODSRESULTS DISCUSSIONSFUTURE IMPLICATIONSPrediabetes: A Shared Prescription for Health for Primary Care PatientsAllison Davis; Beth Careyva, MD; Melanie Johnson, MPA; Kyle Shaak, MPH; Elaine Banerjee, MD; Nicole Burgess, BS• PASAC includes patients, primary care clinicians, endocrinologists, and diabetes educators • PASAC will discuss previously used SDM tools and create a one page tool with a prediabetes infographic and decision aid Stage 1: Co-create prediabetes SDM tool with PASAC• 5 physicians use the tool with~10 patients each (50 total patient-clinician encounters)• Immediate patient survey following primary care visit and 6 weeks after primary care visit• Clinician survey upon completion of the enrollment periodStage 2: Perform pilot testing of prediabetes SDM tool in primary care practice• PASAC will receive survey information at final meeting and work alongside participating clinicians to modify the prediabetes SDM tool• PASAC members will be surveyed on their experiences in the study (degree to which their input modified the study design and final tools)Stage 3: Modification of prediabetes SDM toolREFERENCESFigure 1: I had an important role in the decision making process. 32% agree66%strongly agree3% neutral21917neutral agree strongly agreeFigure 3: The shared decision-making tool prepared me to make a decision about my diabetes prevention plan. 47%53%Figure 4: The shared decision-making tool helped me think about the pros and cons of each option to prevent diabetes.47% agree53% strongly agree“Helpful to have info coming in proactively”“Will be eating healthier – less white carbs and walk more” “…just to know that it starts with me to get the ball rolling, and knowing that someone has my back to get me where I need to be.”“Living and eating a healthy life. New change for me.”Patient CommentsQuantitative Data (n= 38 out of 50)*Qualitative Data11324disagree agree strongly agreeFigure 2: The doctor listened to the things that matter the most to me about my prediabetes.1• Complete pilot testing in primary care (12 more patients)2• Modification of the prediabetes decision aid3• Testing of the final model of the prediabetes shared decision-making tool in primary care practices in follow up study*Based on Likert scale, 1-5

Prediabetes: A Shared Prescription for Health for Primary Care Patients

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Prediabetes: A Shared Prescription for Health for Primary Care Patients

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