Group Visits: A Qualitative Review of Current Research

Jaber, Raja; Braksmajer, Amy; Trilling, Jeffrey S

doi:10.3122/jabfm.19.3.276

Cited by 188 publications

(176 citation statements)

References 30 publications

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Section: Discussionmentioning

confidence: 99%

“…6 They provide more time for self-management education and skill building and may reduce perceived barriers to behavior change. 6 Group visits can improve patient satisfaction by increasing patients' trust in providers and promoting patients' engagement in their care. 6,7 Studies have demonstrated group visit programs can reduce emergency department visits, visits to specialists and hospital admissions and the associated costs of care.…”

Section: Discussionmentioning

confidence: 99%

“…6 Group visits can improve patient satisfaction by increasing patients' trust in providers and promoting patients' engagement in their care. 6,7 Studies have demonstrated group visit programs can reduce emergency department visits, visits to specialists and hospital admissions and the associated costs of care. 6,8 However, the heterogeneity of studies makes it difficult to consistently demonstrate their effectiveness at improving intermediate outcomes of care.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Studies have demonstrated group visit programs can reduce emergency department visits, visits to specialists and hospital admissions and the associated costs of care. 6,8 However, the heterogeneity of studies makes it difficult to consistently demonstrate their effectiveness at improving intermediate outcomes of care. 5,6,9,10 A Cochrane review found that there were few studies of group-based training for selfmanagement strategies in predominantly African American populations with type 2 diabetes mellitus.…”

Section: Discussionmentioning

confidence: 99%

“…3 Cochrane reviews of randomized controlled trials and qualitative reviews that evaluated interventions to improve the management of diabetes mellitus in primary care, outpatient, and community settings support the important role of selfmanagement education. [4][5][6] In July 2009, a large, urban, academic family medicine practice affiliated with Thomas Jefferson University launched a group visit program for its adult diabetic patients to engage and support them in the management of their disease. The 4-week program is led by an interdisciplinary team that includes a diabetes health educator, a nurse, a pharmacist, and resident and attending physicians.…”

Section: Introductionmentioning

confidence: 99%

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The Effects of a Group Visit Program on Outcomes of Diabetes Care in an Urban Family Practice

et al. 2012

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Diabetes mellitus is a prevalent chronic health condition associated with significant morbidity and mortality. Those with diabetes must acquire self-efficacy in the tasks necessary for them to successfully manage their disease. In this study, a controlled pre-and post-design was used to determine the effect of an adult support and education group visit program embedded in an urban academic family medicine practice on weight and the achievement of treatment goals for hemoglobin A1C, low-density lipoprotein (LDL) blood concentration, and blood pressure (BP) several months after it was implemented. Participants in the program were matched to a comparison group based on age, gender, race/ethnicity, and zip code group, a surrogate marker for socioeconomic status. The distribution of demographic characteristics and co-morbidities was similar between the groups. Significant increases occurred in the proportion of participants achieving both an A1C concentration G7% (CMH=4.6613, p=0.0309) while controlling for baseline AIC concentration, and a BPG140/90 mm Hg (CMH=5.61, p=0.018) controlling for baseline BP compared to the comparison group. The hemoglobin A1C concentration declined in 76.9% of the participants in the group visit program compared to 54.3% in the comparison group (CMH=8.9911, p=0.0027). The increase in the proportion of group visit participants achieving the target LDL concentrations did not achieve statistical significance. The proportion of participants who lost weight was similar to that in the comparison group. Early experience with the program was encouraging and suggested it may improve patients' management of their diabetes mellitus in an urban, predominantly African American population.

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Section: Discussionmentioning

confidence: 99%