Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Improving the health in persons with type 2 diabetes

Results from intervention studies targeting patients, practice staff and GPs

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

What works?

We know that

optimal control of diabetes prolongs life leads to fewer complications (cardiovascular

events, neuropati)

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

How to implement the evidense?

Continuing medical educationTools (Computer – other)Organisation - changes

Information - educationIndividual targetsNeeds assessments

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Aim

to present and discuss challenges in the evaluation’ of interventions targeting behavior of patients, practice staff and GPs in the field of improving diabetes care

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Intervention studies“Ready to Act”

Helle Terkildsen

“Electronic facility “

Majbritt Jeppesen

“Electronic Feed back”

Trine Guldberg

“Proactive nurse led intervention”

Lise Juul

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Ready to act???

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Main points of the symposium

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Ready to act

Intervention linked to health promotion activities after early detection of T2 diabetes and prediabetes remains a future challenge….

Reach of intervention Choice of outcomes of health promoting interventions When do we have sufficient evidence for further

implementation?

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Internet based decision support used by patients

Outcome of the study will provide new knowledge on patients will and ability to use electronic decision support

And contribute in the development of patient adressed electronic decision support

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Electronic feed back system

• sortable lists generated new insight into the quality of diabetes care in GP clinics

• attention to quality of diabetes care led to organisational changes

Annelli Sandbæk

MD, ph.d, Ass Professor

School of Public Health, Departement of General

Practice

Aarhus University

Nurse-led proactive support

An upcoming intervention study will test the effect of

A training course for practice nurses with autonomy support as the core component