Promises and Perils of Group Clinics for Young People Living With Diabetes: A Realist Review.

Abstract:

:Group clinics are becoming popular as a new care model in diabetes care. This evidence synthesis, using realist review methodology, examined the role of group clinics in meeting the complex needs of young people living with diabetes. Following Realist And Meta-narrative Evidence Synthesis-Evolving Standards (RAMESES) quality standards, we conducted a systematic search across 10 databases. A total of 131 articles met inclusion criteria and were analyzed to develop theoretically informed explanations of how and why group clinics could work (or not) for young people with diabetes. Models of group-based care in the literature varied significantly and incorporated different degrees of clinical and educational content. Our analysis identified four overarching principles that can be applied in different contexts to drive sustained engagement of young people in group clinics: 1) emphasizing self-management as practical knowledge; 2) developing a sense of affinity between patients; 3) providing safe, developmentally appropriate care; and 4) balancing group and individual needs. Implementation of group clinics was not always straightforward; numerous adjustments to operational and clinical processes were required to establish and deliver high-quality care. Group clinics for young people with diabetes offer the potential to complement individualized care but are not a panacea and may generate as well as solve problems.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Papoutsi C,Colligan G,Hagell A,Hargreaves D,Marshall M,Vijayaraghavan S,Greenhalgh T,Finer S

doi

10.2337/dc18-2005

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

705-712

issue

5

eissn

0149-5992

issn

1935-5548

pii

dc18-2005

journal_volume

42

pub_type

杂志文章,评审
  • Treatment of diabetic ketoacidosis with subcutaneous insulin aspart.

    abstract:OBJECTIVE:In this prospective, randomized, open trial, we compared the efficacy and safety of aspart insulin given subcutaneously at different time intervals to a standard low-dose intravenous (IV) infusion protocol of regular insulin in patients with uncomplicated diabetic ketoacidosis (DKA). RESEARCH DESIGN AND METH...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.27.8.1873

    authors: Umpierrez GE,Cuervo R,Karabell A,Latif K,Freire AX,Kitabchi AE

    更新日期:2004-08-01 00:00:00

  • Variability of urinary albumin excretion in patients with microalbuminuria.

    abstract:OBJECTIVE:To estimate the within-person variability (SDi) for the overnight urinary albumin excretion rate (AER) in diabetic patients with persistent microalbuminuria. RESEARCH DESIGN AND METHODS:Thirteen normotensive diabetic patients in stable medical control, with normal renal function and without any associated ca...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.2337/diacare.17.5.425

    authors: Phillipou G,Phillips PJ

    更新日期:1994-05-01 00:00:00

  • Comparative Effectiveness of the Sodium-Glucose Cotransporter 2 Inhibitor Empagliflozin Versus Other Antihyperglycemics on Risk of Major Adverse Kidney Events.

    abstract:OBJECTIVE:To examine the comparative effectiveness of the sodium-glucose cotransporter 2 inhibitor (SGLT2i) empagliflozin and other non-SGLT2i antihyperglycemics on the risk of major adverse kidney events (MAKE) of estimated glomerular filtration rate (eGFR) decline >50%, end-stage kidney disease, or all-cause mortalit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc20-1231

    authors: Xie Y,Bowe B,Gibson AK,McGill JB,Yan Y,Maddukuri G,Al-Aly Z

    更新日期:2020-11-01 00:00:00

  • Effect of raloxifene on serum triglycerides in women with a history of hypertriglyceridemia while on oral estrogen therapy.

    abstract:OBJECTIVE:Raloxifene hydrochloride is a selective estrogen receptor modulator that to date has not been shown to cause hypertriglyceridemia in normal, diabetic, or hypertriglyceridemic women. This study was designed to assess the effect of raloxifene on serum triglycerides in postmenopausal women who have a history of ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章

    doi:10.2337/diacare.28.7.1555

    authors: Carr MC,Knopp RH,Brunzell JD,Wheeler BS,Zhu X,Lakshmanan M,Rosen AS,Anderson PW

    更新日期:2005-07-01 00:00:00

  • Personalized management of hyperglycemia in type 2 diabetes: reflections from a Diabetes Care Editors' Expert Forum.

    abstract::In June 2012, 13 thought leaders convened in a Diabetes Care Editors' Expert Forum to discuss the concept of personalized medicine in the wake of a recently published American Diabetes Association/European Association for the Study of Diabetes position statement calling for a patient-centered approach to hyperglycemia...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-0512

    authors: Raz I,Riddle MC,Rosenstock J,Buse JB,Inzucchi SE,Home PD,Del Prato S,Ferrannini E,Chan JC,Leiter LA,Leroith D,Defronzo R,Cefalu WT

    更新日期:2013-06-01 00:00:00

  • The efficacy and safety of imeglimin as add-on therapy in patients with type 2 diabetes inadequately controlled with sitagliptin monotherapy.

    abstract:OBJECTIVE:This 12-week study assessed the efficacy and tolerability of imeglimin as add-on therapy to the dipeptidyl peptidase-4 inhibitor sitagliptin in patients with type 2 diabetes inadequately controlled with sitagliptin monotherapy. RESEARCH DESIGN AND METHODS:In a multicenter, randomized, double-blind, placebo-c...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2337/dc13-2349

    authors: Fouqueray P,Pirags V,Diamant M,Schernthaner G,Lebovitz HE,Inzucchi SE,Bailey CJ

    更新日期:2014-07-01 00:00:00

  • A health economic model to assess the long-term effects and cost-effectiveness of orlistat in obese type 2 diabetic patients.

    abstract:OBJECTIVES:Obesity is a common condition in type 2 diabetic patients. Treating obesity may enhance hypoglycemic treatment and contribute to the reduction of long-term microvascular and macrovascular complications. Orlistat reduces cardiovascular risk factors in obese type 2 diabetic patients. The objectives of this stu...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.25.2.303

    authors: Lamotte M,Annemans L,Lefever A,Nechelput M,Masure J

    更新日期:2002-02-01 00:00:00

  • Intensive replacement of basal insulin in patients with type 1 diabetes given rapid-acting insulin analog at mealtime: a 3-month comparison between administration of NPH insulin four times daily and glargine insulin at dinner or bedtime.

    abstract:OBJECTIVE:To establish differences in blood glucose between different regimens of optimized basal insulin substitution in type 1 diabetic patients given lispro insulin at meals, i.e., NPH injected four times a day versus glargine insulin once daily at dinner or at bedtime. RESEARCH DESIGN AND METHODS:A total of 51 pat...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.26.5.1490

    authors: Rossetti P,Pampanelli S,Fanelli C,Porcellati F,Costa E,Torlone E,Scionti L,Bolli GB

    更新日期:2003-05-01 00:00:00

  • Pharmacokinetics and pharmacodynamics of insulin glargine given in the evening as compared with in the morning in type 2 diabetes.

    abstract:OBJECTIVE:To compare pharmacokinetics (PK) and pharmacodynamics (PD) of insulin glargine in type 2 diabetes mellitus (T2DM) after evening versus morning administration. RESEARCH DESIGN AND METHODS:Ten T2DM insulin-treated persons were studied during 24-h euglycemic glucose clamp, after glargine injection (0.4 units/kg...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc14-0649

    authors: Porcellati F,Lucidi P,Cioli P,Candeloro P,Marinelli Andreoli A,Marzotti S,Ambrogi M,Bolli GB,Fanelli CG

    更新日期:2015-03-01 00:00:00

  • Preoperative A1C and clinical outcomes in patients with diabetes undergoing major noncardiac surgical procedures.

    abstract:OBJECTIVE:To evaluate the relationship between preoperative A1C and clinical outcomes in individuals with diabetes mellitus undergoing noncardiac surgery. RESEARCH DESIGN AND METHODS:Data were obtained from the National Surgical Quality Improvement Program database and the Research Patient Data Registry of the Brigham...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc13-1929

    authors: Underwood P,Askari R,Hurwitz S,Chamarthi B,Garg R

    更新日期:2014-01-01 00:00:00

  • Rising incidence of type 2 diabetes in children in the U.K.

    abstract:OBJECTIVE:To estimate the incidence of type 2 diabetes in children <17 years of age and to investigate the relationship of diabetes with increasing childhood obesity in the U.K. and the Republic of Ireland (ROI). RESEARCH DESIGN AND METHODS:Active monthly reporting of cases by consultant pediatricians occurred through...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc06-1813

    authors: Haines L,Wan KC,Lynn R,Barrett TG,Shield JP

    更新日期:2007-05-01 00:00:00

  • High Blood Pressure and Its Association With Incident Diabetes Over 10 Years in the Korean Genome and Epidemiology Study (KoGES).

    abstract:OBJECTIVE:No prospective, community-based cohort studies have investigated the association between blood pressure and diabetes in Asian ethnicity. We investigated this issue in a 10-year prospective, community-based study of Koreans. RESEARCH DESIGN AND METHODS:We studied whether high blood pressure was associated wit...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc14-1931

    authors: Cho NH,Kim KM,Choi SH,Park KS,Jang HC,Kim SS,Sattar N,Lim S

    更新日期:2015-07-01 00:00:00

  • Predicting the optimal basal insulin infusion pattern in children and adolescents on insulin pumps.

    abstract:OBJECTIVE:We aimed at developing and cross-validating a mathematical prediction model for an optimal basal insulin infusion pattern for children with type 1 diabetes on continuous subcutaneous insulin infusion therapy (CSII). RESEARCH DESIGN AND METHODS:We used the German/Austrian DPV-Wiss database for quality control...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-1705

    authors: Holterhus PM,Bokelmann J,Riepe F,Heidtmann B,Wagner V,Rami-Merhar B,Kapellen T,Raile K,Quester W,Holl RW,German\/Austrian DPV-Initiative and the German Pediatric CSII Working Group.

    更新日期:2013-06-01 00:00:00

  • Using Indirect Measures to Identify Geographic Hot Spots of Poor Glycemic Control: Cross-sectional Comparisons With an A1C Registry.

    abstract:OBJECTIVE:Focusing health interventions in places with suboptimal glycemic control can help direct resources to neighborhoods with poor diabetes-related outcomes, but finding these areas can be difficult. Our objective was to use indirect measures versus a gold standard, population-based A1C registry to identify areas ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc18-0181

    authors: Lee DC,Jiang Q,Tabaei BP,Elbel B,Koziatek CA,Konty KJ,Wu WY

    更新日期:2018-07-01 00:00:00

  • Impact of peripheral neuropathy on bone density in patients with type 1 diabetes.

    abstract:OBJECTIVE:To investigate whether peripheral neuropathy (PN), as part of the microangiopathic complex, affects bone mineral density (BMD) of the peripheral or the axial skeleton in patients with type 1 diabetes. RESEARCH DESIGN AND METHODS:Three study groups were examined. Group 1 comprised 21 males with type 1 diabete...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.22.5.827

    authors: Rix M,Andreassen H,Eskildsen P

    更新日期:1999-05-01 00:00:00

  • Back to basics in diagnosing diabetic polyneuropathy with the tuning fork!

    abstract:OBJECTIVE:Several national and international scoring systems are used to diagnose diabetic polyneuropathy (PNP). The variety in these scores and the lack of data on validity and predictive value has led to a comparison and validation of the scores with clinical standards for PNP to determine the most powerful measureme...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.28.9.2201

    authors: Meijer JW,Smit AJ,Lefrandt JD,van der Hoeven JH,Hoogenberg K,Links TP

    更新日期:2005-09-01 00:00:00

  • ACE inhibitor use is associated with hospitalization for severe hypoglycemia in patients with diabetes. DARTS/MEMO Collaboration. Diabetes Audit and Research in Tayside, Scotland. Medicines Monitoring Unit.

    abstract:OBJECTIVE:To evaluate the association between the use of ACE inhibitors and hospital admission for severe hypoglycemia and to explore the effects of potential confounding variables on this relationship. RESEARCH DESIGN AND METHODS:The association between the use of ACE inhibitors and the incidence of hypoglycemia is c...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.9.1363

    authors: Morris AD,Boyle DI,McMahon AD,Pearce H,Evans JM,Newton RW,Jung RT,MacDonald TM

    更新日期:1997-09-01 00:00:00

  • Accumulation of gene polymorphisms related to plaque disruption and thrombosis is associated with cerebral infarction in subjects with type 2 diabetes.

    abstract:OBJECTIVE:It is believed that disruption of vulnerable atherosclerotic plaque and subsequent thrombus formation play critical roles in the pathogenesis of cerebral infarction. We simultaneously determined four relatively common genetic variants related to plaque rupture or subsequent local thrombus formation and evalua...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc09-1518

    authors: Katakami N,Takahara M,Kaneto H,Shimizu I,Ohno K,Ishibashi F,Osonoi T,Kashiwagi A,Kawamori R,Shimomura I,Matsuhisa M,Yamasaki Y

    更新日期:2010-02-01 00:00:00

  • Body fatness and fat distribution as predictors of metabolic abnormalities and early carotid atherosclerosis.

    abstract:OBJECTIVE:To test the hypothesis that intra-abdominal fat plays a primary role over general adiposity for metabolic abnormalities and atherosclerosis. RESEARCH DESIGN AND METHODS:We cross-sectionally studied 849 Japanese men aged 50.3 +/- 8.5 years (range 20-78) with BMI 23.5 +/- 2.9 kg/m(2). Intimal-medial thickness ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.24.7.1248

    authors: Takami R,Takeda N,Hayashi M,Sasaki A,Kawachi S,Yoshino K,Takami K,Nakashima K,Akai A,Yamakita N,Yasuda K

    更新日期:2001-07-01 00:00:00

  • Acceptability and satisfaction with a telecarer approach to the management of type 2 diabetes.

    abstract:OBJECTIVE:To examine patients' views of the acceptability of and satisfaction with telephone care center support provided to improve blood glucose control in type 2 diabetes. RESEARCH DESIGN AND METHODS:The Pro-Active Call-Center Treatment Support (PACCTS) Trial randomized patients from 47 general practices in a depri...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.28.2.283

    authors: Long AF,Gambling T,Young RJ,Taylor J,Mason JM,PACCTS Team.

    更新日期:2005-02-01 00:00:00

  • Relationship of blood thromboxane-B2 (TxB2) with lipid peroxides and effect of vitamin E and placebo supplementation on TxB2 and lipid peroxide levels in type 1 diabetic patients.

    abstract:OBJECTIVE:To study the effect of vitamin E supplementation on platelet hyperaggregability in type 1 diabetic patients. RESEARCH DESIGN AND METHODS:Written informed consent according to the Institutional Review Board on Human Experimentation guidelines was obtained from diabetic patients (n = 29) and their age-matched ...

    journal_title:Diabetes care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2337/diacare.21.9.1511

    authors: Jain SK,Krueger KS,McVie R,Jaramillo JJ,Palmer M,Smith T

    更新日期:1998-09-01 00:00:00

  • The Impact of Glycated Hemoglobin (HbA1c) on Cardiovascular Disease Risk: A Mendelian Randomization Study Using UK Biobank.

    abstract:OBJECTIVE:Glycated hemoglobin (HbA1c) is positively associated with cardiovascular disease (CVD), although evidence is primarily observational. Mendelian randomization studies have only examined its relation with subtypes of CVD. We examined the relation of HbA1c with CVD and its subtypes in the UK Biobank using Mendel...

    journal_title:Diabetes care

    pub_type: 杂志文章,meta分析

    doi:10.2337/dc18-0289

    authors: Au Yeung SL,Luo S,Schooling CM

    更新日期:2018-09-01 00:00:00

  • Glycemic control and prevention of retinopathy in Japanese NIDDM patients. A 10-year follow-up study.

    abstract:OBJECTIVE:To examine glycemic control for the prevention of retinopathy in early diagnosed Japanese NIDDM patients. RESEARCH DESIGN AND METHODS:There were 137 patients with NIDDM but without retinopathy who first visited our facility from 1983-1985. Their age at diagnosis ranged from 30-65 years, with a disease durati...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/diacare.20.4.621

    authors: Nakagami T,Kawahara R,Hori S,Omori Y

    更新日期:1997-04-01 00:00:00

  • Receiver operating characteristic analysis of HLA, CTLA4, and insulin genotypes for type 1 diabetes.

    abstract:OBJECTIVE:This study assessed the ability to distinguish between type 1 diabetes-affected individuals and their unaffected relatives using HLA and single nucleotide polymorphism (SNP) genotypes. RESEARCH DESIGN AND METHODS:Eight models, ranging from only the high-risk DR3/DR4 genotype to all significantly associated H...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc12-2284

    authors: Valdes AM,Varney MD,Erlich HA,Noble JA

    更新日期:2013-09-01 00:00:00

  • Cholesterol metabolism after bariatric surgery in grade 3 obesity: differences between malabsorptive and restrictive procedures.

    abstract:OBJECTIVE:Malabsorptive bariatric surgery (biliopancreatic diversion and biliointestinal bypass [BIBP]) reduces serum cholesterol levels more than restrictive surgery (adjustable gastric banding [AGB]), and this is thought to be due to greater weight loss. Our aim was to evaluate the changes of cholesterol metabolism i...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc12-1737

    authors: Benetti A,Del Puppo M,Crosignani A,Veronelli A,Masci E,Frigè F,Micheletto G,Panizzo V,Pontiroli AE

    更新日期:2013-06-01 00:00:00

  • Impaired glycemia and diabetic polyneuropathy: the OC IG Survey.

    abstract:OBJECTIVE:To test whether diabetic polyneuropathies (DPNs), retinopathy, or nephropathy is more prevalent in subjects with impaired glycemia (IG) (abnormality of impaired fasting glucose [IFG], impaired glucose tolerance [IGT], or impaired HbA(1c) [IA1C]) than in healthy subjects (non-IG). RESEARCH DESIGN AND METHODS:...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc11-1421

    authors: Dyck PJ,Clark VM,Overland CJ,Davies JL,Pach JM,Dyck PJ,Klein CJ,Rizza RA,Melton LJ 3rd,Carter RE,Klein R,Litchy WJ

    更新日期:2012-03-01 00:00:00

  • Uric Acid Is an Independent Risk Factor for Decline in Kidney Function, Cardiovascular Events, and Mortality in Patients With Type 1 Diabetes.

    abstract:OBJECTIVE:Previous studies have provided inconclusive results on the role of uric acid (UA) in risk prediction. Here we aimed to improve the power and precision of the predictive value of UA for the risk of decline in kidney function, cardiovascular events (CVEs), and mortality in patients with type 1 diabetes (T1D). ...

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc18-2173

    authors: Pilemann-Lyberg S,Hansen TW,Tofte N,Winther SA,Theilade S,Ahluwalia TS,Rossing P

    更新日期:2019-06-01 00:00:00

  • Fertility in women with type 1 diabetes: a population-based cohort study in Sweden.

    abstract:OBJECTIVE:The purpose of this study was to assess fertility in women with type 1 diabetes and the risk of congenital malformations in their offspring. RESEARCH DESIGN AND METHODS:This was a register-based cohort study in Sweden. All 5,978 women hospitalized for type 1 diabetes at age

    journal_title:Diabetes care

    pub_type: 杂志文章

    doi:10.2337/dc06-2574

    authors: Jonasson JM,Brismar K,Sparén P,Lambe M,Nyrén O,Ostenson CG,Ye W

    更新日期:2007-09-01 00:00:00

  • BMI versus the metabolic syndrome in relation to cardiovascular risk in elderly Chinese individuals.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the associations of BMI versus metabolic syndrome with cardiovascular diseases (CVDs) in elderly Chinese individuals. RESEARCH DESIGN AND METHODS:We conducted a population-based cross-sectional study in an urban sample of 2,334 elderly subjects (943 men and 1,391 wom...

    journal_title:Diabetes care

    pub_type: 杂志文章,多中心研究

    doi:10.2337/dc06-2402

    authors: He Y,Jiang B,Wang J,Feng K,Chang Q,Zhu S,Fan L,Li X,Hu FB

    更新日期:2007-08-01 00:00:00

  • Baseline markers of inflammation are associated with progression to macroalbuminuria in type 1 diabetic subjects.

    abstract:OBJECTIVE:The current study aimed to determine in the Diabetes Control and Complications Trial (DCCT)/Epidemiology of Diabetes Interventions and Complications cohort whether or not abnormal levels of markers of inflammation and endothelial dysfunction measured in samples collected at DCCT baseline were able to predict ...

    journal_title:Diabetes care

    pub_type: 杂志文章,随机对照试验

    doi:10.2337/dc12-2521

    authors: Lopes-Virella MF,Baker NL,Hunt KJ,Cleary PA,Klein R,Virella G,DCCT\/EDIC Research Group.

    更新日期:2013-08-01 00:00:00