Journal article

Does a simple web-based intervention facilitate the articulation of patients' unvoiced agenda for a consultation with their diabetologists? A qualitative study

Julia Frost, Andy Gibson, Obioha Ukoumunne, Bijay Vaidya, Nicky Britten

BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVE: To explore whether a preconsultation web-based intervention enables patients with diabetes to articulate their agenda in a consultation in the hospital outpatient clinic with their diabetologist. METHODS AND DESIGN: A qualitative study embedded in a pragmatic pilot randomised controlled trial. SETTING: Two city outpatient departments in England. PARTICIPANTS: 25 patients attending a follow-up consultation and 6 diabetologists. INTERVENTION: The PACE-D, a web-based tool adapted for patients with diabetes to use before their consultation to generate an agenda of topics to discuss with their diabetologist. DATA COLLECTION: 25 participants had their consultation with their diabetologi..

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Grants

Funding Acknowledgements

The authors would like to thank the study sponsor Royal Devon and Exeter NHS Foundation Trust. The authors would like to thank Donald Cegala (Emeritus Professor of Communication and Family Medicine, Ohio State University) for supporting their use and modification of the PACE intervention. Catherine Argyle (CA) assisted in the preliminary charting exercise. Faith HarrisGolesworthy, Jim Harris and the wider group of PPI representatives undertook the qualitative data analysis, transforming our understanding of doctor-patient consultations. Lucy Moore (LM) independently second coded the qualitative data.