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Effects of a proactive interdisciplinary self-management program on patient self-efficacy and participation during practice nurse consultations: a randomized controlled trial in type 2 diabetes.

Pon, E. du, Dooren, A. van, Kleefstra, N., Dulmen, S. van. Effects of a proactive interdisciplinary self-management program on patient self-efficacy and participation during practice nurse consultations: a randomized controlled trial in type 2 diabetes. Journal of Clinical Medicine Research: 2020, 12(2), 79-89
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Background
Nowadays, patients with chronic conditions such as type 2 diabetes mellitus (T2DM) need and want to be more active participants in their health care. This study aimed to investigate the effects of the Proactive Interdisciplinary Self-Management (PRISMA) training program on participation during consultations with practice nurses and self-efficacy of patients with T2DM in general practice.

Methods
Within a randomized controlled trial, patients were followed for 6 months. They received either PRISMA in addition to usual care or usual care only. Self-efficacy was assessed using the 5-item Perceived Efficacy in Patient-Physician Interactions (PEPPI-5) scale. Consultations were video-recorded and analyzed using the Roter interaction analysis system. Multilevel analysis was carried out.

Results
No differences in the PEPPI-5 were found between the intervention (n = 101) and control groups (n = 102) (U = 1,737.5, z = -0.2, P = 0.8). In addition, the groups did not differ in patient participation. However, patients who attended the PRISMA program expressed more counselling utterances (B = 0.22; standard error (SE) = 0.09).