NIVEL (Netherlands institute for health services research), Utrecht, The Netherlands.
Patient Educ Couns. 2010 Jun;79(3):351-5. doi: 10.1016/j.pec.2010.04.016. Epub 2010 May 2.
The purpose of this study was to examine differences in the type of topics discussed during shared medical appointments (SMAs) and traditional individual outpatient visits for children and adolescents with type 1 diabetes. In addition, differences between the conversational contributions of the participants were examined.
Videotapes of 42 individual outpatient visits and 5 SMAs with 31 children or adolescents were collected and observed using a checklist of topics adapted from the international consensus guideline for the management of type 1 diabetes in childhood and adolescents. Furthermore, patients reported about their experience with the information and support provided during an SMA. Data analysis was performed using one-way ANOVAs and univariate variance analysis.
In SMAs, more diabetes-related topics were discussed. During SMAs, the conversational contributions of the different participants seemed to be more equally distributed than during traditional individual outpatient visits. Participants felt that they had learned most from the presence of other patients and their questions.
More diabetes-related topics are covered in SMAs than in individual outpatient pediatric follow-up visits.
SMAs seem to offer an appreciated variation on the regular diabetes care for children and adolescents.
本研究旨在探讨在 1 型糖尿病儿童和青少年中，共同就诊（SMA）和传统个体门诊就诊期间讨论的主题类型的差异。此外，还研究了参与者对话贡献的差异。
收集了 31 名儿童或青少年的 42 次个体门诊就诊和 5 次 SMA 的录像，并使用从儿童和青少年 1 型糖尿病管理国际共识指南中改编的主题检查表进行观察。此外，患者还报告了他们在 SMA 期间获得的信息和支持的体验。使用单向方差分析和单变量方差分析进行数据分析。
在 SMA 中，更多地讨论了与糖尿病相关的主题。在 SMA 期间，不同参与者的对话贡献似乎比传统的个体门诊就诊更平均分配。参与者认为他们从其他患者及其问题的存在中学到了最多的知识。
SMA 比个体门诊儿科随访就诊涵盖了更多与糖尿病相关的主题。
SMA 似乎为儿童和青少年的常规糖尿病护理提供了一种受欢迎的变化。
