PT  - JOURNAL ARTICLE
AU  - Careyva, Beth A.
AU  - Shaak, Kyle
AU  - Burgess, Nicole M.
AU  - Johnson, Melanie B.
AU  - Banerjee, Elaine Seaton
AU  - Chung, Yoonjie
AU  - Davis, Allison N.
AU  - Payton, Colleen
TI  - Designing and Evaluating a Prediabetes Shared Decision Aid
AID  - 10.3122/jabfm.2020.02.190070
DP  - 2020 Mar 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 262--270
VI  - 33
IP  - 2
4099  - http://www.jabfm.org/content/33/2/262.short
4100  - http://www.jabfm.org/content/33/2/262.full
SO  - J Am Board Fam Med2020 Mar 01; 33
AB  - Background: Prediabetes is increasing in prevalence and is associated with risk of developing diabetes, heart disease, stroke, and retinopathy. Clinicians have limited tools to facilitate prediabetes discussions within primary care visits.Purpose: 1) Develop a Patient and Stakeholder Advisory Committee (PASAC) to design, evaluate, and revise a prediabetes shared decision aid, and 2) evaluate the feasibility and experience of implementing the tool within primary care practice.Methods: A prediabetes decision aid (double-sided infographic with decision questions) was created by a PASAC that included patients, primary care clinicians, diabetes educators, endocrinologists, and pharmacists. Five clinicians within 3 primary care practices tested the prediabetes tool with 50 adult patients with prediabetes. Patients completed 2 surveys immediately after the office visit and 6 weeks later. Clinicians and PASAC members completed a postintervention survey.Results: The prediabetes shared decision aid was created through a deliberative process over 3 PASAC meetings. Ninety-six percent of patients felt the tool prepared them to decide on a diabetes prevention plan, and 100% of clinicians would use the tool again and felt the tool did not extend visit length.Discussion: It was feasible to cocreate a prediabetes shared decision aid within a PASAC and implement the tool within a primary care setting. Patients and clinicians reported a prediabetes discussion, which may mitigate rates of progression to diabetes and associated complications. Future research should evaluate which of the intervention components most effectively promotes discussion of prediabetes within a primary care setting.