Jove
Visualize
Contact Us

Related Experiment Videos

Implementing practice guidelines for diabetes care using problem-based learning. A prospective controlled trial using

E M Benjamin1, M S Schneider, K T Hinchey

  • 1Clinical Practices Evaluation and Management, Baystate Medical Center, Springfield, MA 01199, USA. evan.benjamin@bhs.org

Diabetes Care
|October 20, 1999
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The power and pain of words: how language matters in responding to patients after harm.

Frontiers in health services·2025
Same author

Nonsteroidal anti-inflammatory drug hypersensitivity syndrome: a multicenter study. II. Basophil activation by nonsteroidal anti-inflammatory drugs and its impact on pathogenesis.

Journal of investigational allergology & clinical immunology·2010
Same author

Nonsteroidal anti-inflammatory drug hypersensitivity syndrome. A multicenter study. I. Clinical findings and in vitro diagnosis.

Journal of investigational allergology & clinical immunology·2009
Same author

Explantation and mastopexy: the vertical mammaplasty technique to optimize breast shape.

Aesthetic surgery journal·2009
Same author

The predictive validity of the internal medicine in-training examination.

The American journal of medicine·2007
Same author

Direct observation of the alpha-epsilon transition in shock-compressed iron via nanosecond x-ray diffraction.

Physical review letters·2005
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Problem-based learning effectively improved diabetes care, significantly lowering HbA1c levels in patients. This strategy enhanced physician adherence to clinical guidelines, though sustained gains require further intervention.

Area of Science:

  • Internal Medicine
  • Clinical Practice Guidelines
  • Diabetes Management

Background:

  • Diabetes clinical practice guidelines aim to standardize and improve patient care.
  • Implementing these guidelines in outpatient settings presents challenges in physician adoption and patient outcomes.
  • Problem-based learning (PBL) is explored as a method to facilitate guideline implementation.

Purpose of the Study:

  • To evaluate the impact of a problem-based learning educational program on the implementation of a diabetes clinical practice guideline.
  • To assess changes in glycemic control (HbA1c) and physician adherence to care standards.
  • To determine the effectiveness of PBL in improving diabetes management in an outpatient setting.

Main Methods:

  • A controlled trial involving 144 patients with type 2 diabetes across two internal medicine outpatient clinics.

Related Experiment Videos

  • One clinic received training on a guideline-based PBL program, while the other served as a control.
  • HbA1c levels were measured at baseline, 9 months, and 15 months; physician adherence was also assessed.

    • Main Results:

    • The intervention group showed a significant mean HbA1c reduction of -0.90% at 9 months and -0.62% at 15 months.
    • Patients with poorer baseline glycemic control experienced the most substantial HbA1c improvements.
    • Physician adherence to American Diabetes Association standards of care significantly improved in the intervention group.

    Conclusions:

    • Clinical practice guidelines, when implemented effectively, can enhance diabetes care processes and outcomes.
    • Problem-based learning serves as a valuable strategy for securing physician buy-in for clinical practice guidelines.
    • Sustaining treatment gains necessitates the development of more intensive, long-term interventions.