Vasiliki Andreou, Sanne Peters, Jan Eggermont, Birgitte Schoenmakers
Co-designing Entrustable Professional Activities in General Practitioner's training: a participatory research study
BMC medical education
last decades presence social inequalities diabetes care observed multiple countries including spain inequalities least partially attributed differences diabetes selfmanagement behaviours communication problems medical consultations occur frequently patients lower educational level purpose cluster randomized trial determine whether intervention implemented general surgery based improving patientprovider communication results better diabetes selfmanagement patients lower educational level secondary objective assess whether telephone reinforcement enhances effect intervention report design implementation ongoing study study conducted general practice located deprived neighbourhood granada spain diabetic patients 18 years old older low educational level inadequate glycaemic control hba1c 7 recruited general practitioners gps randomised three groups intervention intervention b control group gps allocated intervention groups b received training communication skills providing graphic feedback glycosylated haemoglobin levels patients whose gps allocated group b additionally receiving telephone reinforcement whereas patients control group receiving usual care described interventions conducted 7 consecutive medical visits scheduled every three months main outcome measure hba1c blood pressure lipidemia body mass index waist circumference considered secondary outcome measures statistical analysis evaluate effectiveness interventions include multilevel regression analysis three hierarchical levels medical visit level patient level gp level results study provide new knowledge possible strategies promote better diabetes selfmanagement particularly vulnerable group effective low cost intervention potential easily incorporated routine clinical practice contributing decrease health inequalities diabetic patients clinical trials us national institutes health nct01849731