Skip to main content

Table 1 Intervention description of component 1: outreach educational peer visit (according to TIDieR)

From: Shared decision making and patient-centeredness for patients with poorly controlled type 2 diabetes mellitus in primary care—results of the cluster-randomised controlled DEBATE trial

1 Short Name Educational peer visit
2 Goal and rationale Improvement of doctor-patient communication and interaction between GP and patient, raising GP awareness for patients with poorly controlled diabetes type 2, their individual agenda and concepts of disease and taking it into account in the process of shared decision making, putting more focus on the patient perspective without overstraining both, doctor and patient
3 Materials Oral input, computer-based decision-aid tool arriba-debate, peer-to-peer-discussion
4 Procedures Trained GPs visited participating GPs in their practice. During the visitation, specific problems/factors influencing the doctor-patient-communication and the treatment of patients with poorly controlled type 2 diabetes were discussed with the GP (e.g. different ideas of therapy on GPs and patient's sides resulting in ineffective doctor-patient communication, lack of interest, resignation, frustration, anger). In addition, the peer GP introduced the basics of narrative based communication to the GP and gave individual feedback to patient cases the GP had experienced to be difficult. Additionally, during the visitation, the computer-based decision-aid tool arriba-debate was introduced to the GP. The tool offers patient-targeted visualizations of the effect of possible behaviour changes (e.g. smoking stop, exercise) and therapy (medication) on the individual risk of coronary heart disease under consideration of individual parameters (e.g. sex, age, blood pressure, cholesterol, blood glucose level)
5 Providers of intervention Trained general practitioners (peers)
6 Mode of delivery On site visit, oral presentation, introduction of the decision-aid tool and discussion
7 Location GP practice
8 Frequency Once following completion of baseline data collection between the 3rd quarter of 2012 and the 1st quarter of 2013; duration approximately 1–1.5 h, total of 47 intervention practices received a peer visit
9 Planned tailoring No
10 Fidelity enhancement Memo written by peer