Evidence map›Paper›PMID 26366060›Full record

ArticlePatient preference and adherence2015

Empowerment, motivation, and medical adherence (EMMA): the feasibility of a program for patient-centered consultations to support medication adherence and blood glucose control in adults with type 2 diabetes.

Annemarie Reinhardt Varming, Ulla Møller Hansen, Gudbjörg Andrésdóttir, Gitte Reventlov Husted, Ingrid Willaing

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 45 citations in OpenAlex.

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  12. Choosing not to follow rules that will reduce the spread of COVID-19.Journal of contextual behavioral science · 2020
    Article
  13. Development of a Cancer Self-management Education Programme for Women with Breast Cancer at the End of Primary Treatment.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
    Article
  14. Patient Compliance: Fact or Fiction?Innovations in pharmacy · 2019
    Article
  15. Article
  16. Patient empowerment in Europe: is no further research needed?The European journal of health economics : HEPAC : health economics in prevention and care · 2018
    Article
  17. Article
  18. Review
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  20. New model for diabetes primary health care based on patient empowerment and the right to preventive health: the MIDE program.Revista panamericana de salud publica = Pan American journal of public health · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Annemarie Reinhardt VarmingPatient Education Research, Steno Diabetes Center, Gentofte, Denmark.
Ulla Møller HansenPatient Education Research, Steno Diabetes Center, Gentofte, Denmark.
Gudbjörg AndrésdóttirComplications Research, Steno Diabetes Center, Gentofte, Denmark.
Gitte Reventlov HustedPatient Education Research, Steno Diabetes Center, Gentofte, Denmark.
Ingrid WillaingPatient Education Research, Steno Diabetes Center, Gentofte, Denmark.
Steno Diabetes Center · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the feasibility of a research-based program for patient-centered consultations to improve medical adherence and blood glucose control in patients with type 2 diabetes. PATIENTS AND

methodsThe patient-centered empowerment, motivation, and medical adherence (EMMA) consultation program consisted of three individual consultations and one phone call with a single health care professional (HCP). Nineteen patients with type 2 diabetes completed the feasibility study. Feasibility was assessed by a questionnaire-based interview with patients 2 months after the final consultation and interviews with HCPs. Patient participation was measured by 10-second event coding based on digital recordings and observations of the consultations.

resultsHCPs reported that EMMA supported patient-centered consultations by facilitating dialogue, reflection, and patient activity. Patients reported that they experienced valuable learning during the consultations, felt understood, and listened to and felt a trusting relationship with HCPs. Consultations became more person-specific, which helped patients and HCPs to discover inadequate diabetes self-management through shared decision-making. Compared with routine consultations, HCPs talked less and patients talked more. Seven of ten dialogue tools were used by all patients. It was difficult to complete the EMMA consultations within the scheduled time.

conclusionThe EMMA program was feasible, usable, and acceptable to patients and HCPs. The use of tools elicited patients' perspectives and facilitated patient participation and shared decision-making.

Indexed as

adherencedialoguehealth educationparticipationself-managementtype 2 diabetes

Identifiers

PMID26366060
PMCPMC4562751
OpenAlexW1717046511

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.