Development of a National Minimal Set of Patient-Important Outcome Domains for Value-Based Diabetes Care in Denmark

Research output: Contribution to journalConference abstract in journalResearchpeer-review

Abstract

Aim: To identify a minimal set of patient-reported (PRO) domains for use in value-based diabetes care in Denmark.Methodology: A structured mixed-methods research protocol was applied to ensure an evidence-based approach to involvement of people with diabetes in the identification of patient-centered outcome domains. 20 people with diabetes and 4 caregivers of people with diabetes selected for representativeness in age, gender, type of therapy, duration of diabetes, type of diabetes, and disease burden were recruited for qualitative research and co-creation to examine 1) psychological, physical and social impacts of diabetes and desired outcomes of treatment, 2) dis-utilities of therapy and 3) factors enabling sustainability in line with the value based care model. Qualitative research based on interviews, structured focus group and co-creation workshop sessions together with desk research on patient, clinical, health economic, and societal relevance of identified domains informed the final identification of domains by a multi-disciplinary and multi-sector working group using strict criteria of patient importance, clinical relevance and applicability, measurability and mutability.Results: The following PRO domains were selected to complement the clinical outcome domains: Self-reported health, psychological well-being, symptom burden (e.g., sleep, sexual dysfunction, complications), multi-faceted impact of diabetes on life including diabetes distress, treatment burden and impacts of hypoglycemia, and specific indicators of care confidence, quality and diabetes self-care ability.Conclusions: The assessment of patient-important outcomes for value based diabetes care in Denmark require the implementation of PRO questionnaires in standard diabetes care.Disclosure S.E. Skovlund: None. L. Troelsen: None. M. Dømgaard: None. P.O. Jakobsen: None. N. Ejskjaer: None.
Original languageEnglish
JournalDiabetes
Volume67
Issue numberSuppl. 1
ISSN0012-1797
DOIs
Publication statusPublished - 2018
EventAmerican Diabetes Association 78th Scientific Sessions 2018 - US, Orlando, United States
Duration: 22 Jun 201826 Jun 2018
https://professional.diabetes.org/meeting/scientific-sessions/78th-scientific-sessions

Conference

ConferenceAmerican Diabetes Association 78th Scientific Sessions 2018
LocationUS
CountryUnited States
CityOrlando
Period22/06/201826/06/2018
Internet address

Cite this

@article{7099b3d7843a475fa0602734cdb80701,
title = "Development of a National Minimal Set of Patient-Important Outcome Domains for Value-Based Diabetes Care in Denmark",
abstract = "Aim: To identify a minimal set of patient-reported (PRO) domains for use in value-based diabetes care in Denmark.Methodology: A structured mixed-methods research protocol was applied to ensure an evidence-based approach to involvement of people with diabetes in the identification of patient-centered outcome domains. 20 people with diabetes and 4 caregivers of people with diabetes selected for representativeness in age, gender, type of therapy, duration of diabetes, type of diabetes, and disease burden were recruited for qualitative research and co-creation to examine 1) psychological, physical and social impacts of diabetes and desired outcomes of treatment, 2) dis-utilities of therapy and 3) factors enabling sustainability in line with the value based care model. Qualitative research based on interviews, structured focus group and co-creation workshop sessions together with desk research on patient, clinical, health economic, and societal relevance of identified domains informed the final identification of domains by a multi-disciplinary and multi-sector working group using strict criteria of patient importance, clinical relevance and applicability, measurability and mutability.Results: The following PRO domains were selected to complement the clinical outcome domains: Self-reported health, psychological well-being, symptom burden (e.g., sleep, sexual dysfunction, complications), multi-faceted impact of diabetes on life including diabetes distress, treatment burden and impacts of hypoglycemia, and specific indicators of care confidence, quality and diabetes self-care ability.Conclusions: The assessment of patient-important outcomes for value based diabetes care in Denmark require the implementation of PRO questionnaires in standard diabetes care.Disclosure S.E. Skovlund: None. L. Troelsen: None. M. D{\o}mgaard: None. P.O. Jakobsen: None. N. Ejskjaer: None.",
author = "Skovlund, {Soren E.} and Lise Troelsen and Mikala D{\o}mgaard and Jakobsen, {Poul Erik O.} and Niels Ejskjaer",
year = "2018",
doi = "10.2337/db18-135-LB",
language = "English",
volume = "67",
journal = "Diabetes",
issn = "0012-1797",
publisher = "American Diabetes Association",
number = "Suppl. 1",

}

Development of a National Minimal Set of Patient-Important Outcome Domains for Value-Based Diabetes Care in Denmark. / Skovlund, Soren E.; Troelsen, Lise; Dømgaard, Mikala; Jakobsen, Poul Erik O.; Ejskjaer, Niels.

In: Diabetes, Vol. 67, No. Suppl. 1, 2018.

Research output: Contribution to journalConference abstract in journalResearchpeer-review

TY - ABST

T1 - Development of a National Minimal Set of Patient-Important Outcome Domains for Value-Based Diabetes Care in Denmark

AU - Skovlund, Soren E.

AU - Troelsen, Lise

AU - Dømgaard, Mikala

AU - Jakobsen, Poul Erik O.

AU - Ejskjaer, Niels

PY - 2018

Y1 - 2018

N2 - Aim: To identify a minimal set of patient-reported (PRO) domains for use in value-based diabetes care in Denmark.Methodology: A structured mixed-methods research protocol was applied to ensure an evidence-based approach to involvement of people with diabetes in the identification of patient-centered outcome domains. 20 people with diabetes and 4 caregivers of people with diabetes selected for representativeness in age, gender, type of therapy, duration of diabetes, type of diabetes, and disease burden were recruited for qualitative research and co-creation to examine 1) psychological, physical and social impacts of diabetes and desired outcomes of treatment, 2) dis-utilities of therapy and 3) factors enabling sustainability in line with the value based care model. Qualitative research based on interviews, structured focus group and co-creation workshop sessions together with desk research on patient, clinical, health economic, and societal relevance of identified domains informed the final identification of domains by a multi-disciplinary and multi-sector working group using strict criteria of patient importance, clinical relevance and applicability, measurability and mutability.Results: The following PRO domains were selected to complement the clinical outcome domains: Self-reported health, psychological well-being, symptom burden (e.g., sleep, sexual dysfunction, complications), multi-faceted impact of diabetes on life including diabetes distress, treatment burden and impacts of hypoglycemia, and specific indicators of care confidence, quality and diabetes self-care ability.Conclusions: The assessment of patient-important outcomes for value based diabetes care in Denmark require the implementation of PRO questionnaires in standard diabetes care.Disclosure S.E. Skovlund: None. L. Troelsen: None. M. Dømgaard: None. P.O. Jakobsen: None. N. Ejskjaer: None.

AB - Aim: To identify a minimal set of patient-reported (PRO) domains for use in value-based diabetes care in Denmark.Methodology: A structured mixed-methods research protocol was applied to ensure an evidence-based approach to involvement of people with diabetes in the identification of patient-centered outcome domains. 20 people with diabetes and 4 caregivers of people with diabetes selected for representativeness in age, gender, type of therapy, duration of diabetes, type of diabetes, and disease burden were recruited for qualitative research and co-creation to examine 1) psychological, physical and social impacts of diabetes and desired outcomes of treatment, 2) dis-utilities of therapy and 3) factors enabling sustainability in line with the value based care model. Qualitative research based on interviews, structured focus group and co-creation workshop sessions together with desk research on patient, clinical, health economic, and societal relevance of identified domains informed the final identification of domains by a multi-disciplinary and multi-sector working group using strict criteria of patient importance, clinical relevance and applicability, measurability and mutability.Results: The following PRO domains were selected to complement the clinical outcome domains: Self-reported health, psychological well-being, symptom burden (e.g., sleep, sexual dysfunction, complications), multi-faceted impact of diabetes on life including diabetes distress, treatment burden and impacts of hypoglycemia, and specific indicators of care confidence, quality and diabetes self-care ability.Conclusions: The assessment of patient-important outcomes for value based diabetes care in Denmark require the implementation of PRO questionnaires in standard diabetes care.Disclosure S.E. Skovlund: None. L. Troelsen: None. M. Dømgaard: None. P.O. Jakobsen: None. N. Ejskjaer: None.

U2 - 10.2337/db18-135-LB

DO - 10.2337/db18-135-LB

M3 - Conference abstract in journal

VL - 67

JO - Diabetes

JF - Diabetes

SN - 0012-1797

IS - Suppl. 1

ER -