Trial Outcomes & Findings for Improving Medical Training for the Care of Chronic Conditions (NCT NCT00676208)

Results Overview

A three item scale was used to assess confidence in ability to convey logic of recommendations to other providers, explain one's distinctive perspective, and be accountable to patients for a decision made by a colleague from another discipline. The responses for each item ranged from 'not at all confident' (0) to 'very confident' (4), with higher values indicating more confidence. The total scale ranged from 0 to 16 with higher being more confident. Difference scores were analyzed (post-pre) with positive and higher values indicating more favorable change.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

33 participants

Primary outcome timeframe

Pre-intervention and Post-Intervention at 1 month

Results posted on

2021-09-23

Participant Flow

Participant milestones

Participant milestones
Measure	Intervention Medical Students who are assigned to observe Shared Medical Appointments.	Comparison Medical students who do not experience Shared Medical Appointments during the study period April to August 2008.
Overall Study STARTED	14	19
Overall Study COMPLETED	12	13
Overall Study NOT COMPLETED	2	6

Reasons for withdrawal

Reasons for withdrawal
Measure	Intervention Medical Students who are assigned to observe Shared Medical Appointments.	Comparison Medical students who do not experience Shared Medical Appointments during the study period April to August 2008.
Overall Study Lost to Follow-up	0	2
Overall Study Incomplete data	2	4

Baseline Characteristics

Improving Medical Training for the Care of Chronic Conditions

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	SMA Participants n=14 Participants Medical Students who were assigned to observe Shared Medical Appointments (SMA).	Comparison n=19 Participants Medical students who do not experience Shared Medical Appointments.	Total n=33 Participants Total of all reporting groups
Age, Categorical <=18 years	NA Participants n=5 Participants	NA Participants n=7 Participants	NA Participants n=5 Participants
Age, Categorical Between 18 and 65 years	NA Participants n=5 Participants	NA Participants n=7 Participants	NA Participants n=5 Participants
Age, Categorical >=65 years	NA Participants n=5 Participants	NA Participants n=7 Participants	NA Participants n=5 Participants
Sex/Gender, Customized Not collected	NA participants n=5 Participants	NA participants n=7 Participants	NA participants n=5 Participants
Region of Enrollment United States	14 participants n=5 Participants	19 participants n=7 Participants	33 participants n=5 Participants

PRIMARY outcome

Timeframe: Pre-intervention and Post-Intervention at 1 month

A three item scale was used to assess confidence in ability to convey logic of recommendations to other providers, explain one's distinctive perspective, and be accountable to patients for a decision made by a colleague from another discipline. The responses for each item ranged from 'not at all confident' (0) to 'very confident' (4), with higher values indicating more confidence. The total scale ranged from 0 to 16 with higher being more confident. Difference scores were analyzed (post-pre) with positive and higher values indicating more favorable change.

Outcome measures

Outcome measures
Measure	SMA Participants n=12 Participants Medical students who are assigned to observe Shared Medical Appointments (SMA).	Comparison n=13 Participants Medical Students who do not experience Shared Medical Appointments.
Change in Confidence in Ability to Perform Teamwork	1.40 units of a scale Standard Deviation 0.65	-0.12 units of a scale Standard Deviation 0.6

SECONDARY outcome

Timeframe: Pre-intervention and Post-intervention at 1 month

The University of Michigan's Research and Training Center's Diabetes Attitude Scale was used. There are 33 items and the response format is a 5 point Likert Scale ranging from 'strongly disagree'(1) to 'strongly agree'(5). A higher score means more positive attitudes toward diabetes and its treatment (e.g., psychosocial impact of diabetes; value of tight glucose control).The total score is computed by summing individual items and ranges from 0 to 165. Post-pre total scores were used with positive and higher values indicating greater favorable change.

Outcome measures

Outcome measures
Measure	SMA Participants n=12 Participants Medical students who are assigned to observe Shared Medical Appointments (SMA).	Comparison n=13 Participants Medical Students who do not experience Shared Medical Appointments.
Change in Professionals' Attitudes About Diabetes	0.88 units on a scale Standard Deviation 1.51	-1.12 units on a scale Standard Deviation 2.85

Adverse Events

SMA Participants

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Comparison

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michelle Davidson

Louis Stokes VA Medical Center

Phone: (216) 791-2300

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place