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Socializing the evidence for diabetes control to develop "mindlines": a qualitative pilot study.

John W Epling1, Michelle S Rockwell2,3, Allison D Miller4

  • 1Department of Family & Community Medicine, Virginia Tech Carilion School of Medicine and The Carilion Clinic, 1 Riverside Circle, Suite 102, Roanoke, VA, 24016, USA. jwepling@carilionclinic.org.

BMC Family Practice
|September 7, 2021
PubMed
Summary

Facilitated practice-wide conversations about diabetes evidence improved clinician knowledge and patient outcomes in primary care. This pilot study demonstrated the potential of "mindlines" to bridge the evidence-practice gap.

Keywords:
DiabetesEvidence-based medicineImplementationMindlinesPractice-based researchPrimary care

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Area of Science:

  • Primary Care Research
  • Health Services Research
  • Evidence-Based Practice

Background:

  • Implementing evidence-based interventions in primary care for diabetes control faces challenges.
  • The "mindlines" concept describes how clinicians integrate evidence within their practice context.
  • Existing evidence for diabetes interventions is not always effectively translated into practice.

Purpose of the Study:

  • To operationalize the "mindlines" concept by fostering clinician-staff interaction around evidence.
  • To explore the generation of "knowledge-in-practice-in-context" through facilitated conversations.
  • To assess the impact of practice-based conversations on diabetes care.

Main Methods:

  • Four primary care practices engaged in facilitated, informal practice-wide discussions about a diabetes intervention model.
  • Conversations were recorded, and field notes were collected.
  • Data analysis used a framework adapted from "mindlines" research, identifying emergent themes.

Main Results:

  • Discussions primarily focused on barriers to implementing the diabetes intervention model.
  • Practices demonstrated adaptation of evidence to their specific contexts.
  • Diabetes control performance metrics improved across the four practices post-intervention.

Conclusions:

  • Facilitated conversations, aligned with "mindlines" principles, can be generated in primary care settings.
  • These conversations showed potential for improving diabetes care implementation.
  • Further research is needed to fully understand the limitations and impact of this approach.