ISSN: 2161-0711

Journal of Community Medicine & Health Education
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  • Research Article   
  • J Community Med Health Educ 7:557,
  • DOI: 10.4172/2161-0711.1000557

Primary Care Provider Feedback of Training to Identify and Manage Pre-Diabetes

Nancy Sohler1*, Yelena Zubatov2, Jordan Sill2, Julian Botta2, Brenda Matti-Orozco2, Edwin Young2 and Jeanine Albu2
1City University of New York School of Medicine, , USA
2Mount Sinai St. Luke’s and Mount Sinai West Hospitals, Icahn School of Medicine, , USA
*Corresponding Author : Nancy Sohler PhD, MPH, City University of New York School of Medicine, 160 Convent Avenue, New York, NY 10032, USA, Tel: 212-650-7786, Fax: 212-650-7778, Email: nsohler@med.cuny.edu

Received Date: Sep 16, 2017 / Accepted Date: Sep 27, 2017 / Published Date: Sep 29, 2017

Abstract

Introduction: Disease-specific training to improve management of chronic diseases is essential in the context of the patient-centered medical home. Achieving provider and staff satisfaction with practices and training is critical for successful patient care. Models for assessing satisfaction in the context of diabetes management have been reported. Here we extend this work to diabetes prevention.
Materials and methods: We administered a questionnaire to all provider and staff involved in a new pre-diabetes management program implemented in an inner city primary care network before, immediately after, and six months after a one-hour training session that was developed following American Diabetes Association guidelines. The questionnaire was adapted for pre-diabetes from the Provider Satisfaction Inventory, an instrument previously used to evaluate perceived ability to manage diabetes on four scales: chronic disease management, collaborative team practice, outcomes, and supportive environment.
Results: Fifty-six attending physicians, 133 residents, and 28 office staff participated. Mean scores on two of the four scales (chronic disease management and supportive environment) improved significantly immediately after the training. Improvement was noted on the other scales, but the changes did not consistently reach statistical significance. Continued improvement in scores after six months was evident in most scales for the attending physicians and residents, but not for the office staff.
Discussion: We successfully adapted a diabetes management satisfaction instrument to the evaluation of prediabetes management, and primary care providers and staff reported improved ability to manage pre-diabetes after our training. However, ongoing training after the initial session might be warranted for the office staff.

Keywords: Diabetes; Satisfaction; Training

Citation: Sohler N, Zubatov Y, Still J, Botta J, Orozco BM, et al. (2017) Primary Care Provider Feedback of Training to Identify and Manage Pre-Diabetes . J Community Med Health Educ 7: 557. Doi: 10.4172/2161-0711.1000557

Copyright: © 2017 Sohler N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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