A cluster randomized trial on the effect of a multifaceted intervention improved the technical quality of diabetes care by primary care physicians: The Japan Diabetes Outcome Intervention Trial-2 (J-DOIT2)

Diabetic Medicine : a Journal of the British Diabetic Association
Y HayashinoM Noda

Abstract

To evaluate the effect of multifaceted interventions using the Achievable Benchmark of Care (ABC) method for improving the technical quality of diabetes care in primary care settings. We conducted a 1-year cluster randomized controlled trial in 22 regions divided into an intervention group (IG) or control group (CG). Physicians in the IG received a monthly report of their care quality, with the top 10% quality of diabetes care scores for all physicians being the achievable benchmark. The change in quality-of-care scores between the IG and CG during follow-up was analysed using a generalized linear model considering clustering. A total of 2199 patients were included. Their mean (sd) age was 56.5 ± 5.9 years and the mean (sd) HbA1c level was 56.4 ± 13.3 mmol/mol (7.4 ± 1.2%). The quality-of-care score in the CG changed from 50.2%-point at baseline to 51%-point at 12 months, whereas the IG score changed from 49.9%-point to 69.6%-point, with statistically significant differences between the two groups during follow-up [the effect of intervention was 19.0%-point (95% confidence interval 16.7%- to 21.3%-point; P < 0.001)]. Multifaceted intervention, measuring quality-of-care indicators and providing feedback regarding the quality of ...Continue Reading

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Citations

Aug 16, 2017·Journal of Health Psychology·Hissei ImaiUNKNOWN J-DOIT2 Study Group
Jun 2, 2018·Health Technology Assessment : HTA·John G LawrensonJeremy M Grimshaw
Jan 16, 2018·The Cochrane Database of Systematic Reviews·John G LawrensonJeremy M Grimshaw
Mar 16, 2019·Journal of General and Family Medicine·Makiko OzakiKazuhiro Waza
Oct 30, 2020·Advances in Medical Education and Practice·Hosam AlmetahrAbdullah Alsabaani
Oct 16, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Steve Van Den BulckPatrik Vankrunkelsven

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