Table 2.
Physicians' Report of Management Strategies Employed, Satisfaction, and Effectiveness During the Visit
Unadjusted | Adjusted* | |||||||
---|---|---|---|---|---|---|---|---|
Intervention (%) | Control (%) | Odds Ratio (95% CI) | P Value | Intervention (%) | Control (%) | Odds Ratio (95% CI) | P Value | |
Management intensive† | 21 | 8 | 3.2 (1.1 to 9.8) | .04 | 20 | 7 | 4.7 (1.4 to 16.0) | .01 |
Physician strategies employed | ||||||||
Involved family members or friends | 25 | 16 | 1.7 (1.0 to 2.9) | .04 | 27 | 17 | 1.9 (1.0 to 3.5) | .04 |
Referred to a nutritionist | 13 | 5 | 2.9 (0.8 to 10.0) | .09 | 11 | 3 | 4.0 (1.0 to 15.6) | .05 |
Used pictures or diagrams | 11 | 5 | 2.4 (0.5 to 12.7) | .30 | 8 | 1 | 7.9 (0.9 to 74.7) | .07 |
Referred to a diabetes educator | 26 | 29 | 0.8 (0.4 to 1.8) | .60 | 28 | 31 | 0.9 (0.4 to 1.9) | .60 |
Reviewed understanding of medications | 89 | 87 | 1.3 (0.5 to 3.0) | .60 | 92 | 90 | 1.3 (0.5 to 3.5) | .60 |
Spent time teaching about diabetes | 66 | 65 | 1.1 (0.5 to 2.1) | .8 | 69 | 63 | 1.3 (0.6 to 2.8) | .5 |
Satisfied with visit | 81 | 93 | 0.3 (0.1 to 0.8) | .01 | 82 | 96 | 0.2 (0.1 to 0.5) | <.001 |
Felt effective during visit | 38 | 53 | 0.5 (0.3 to 1.2) | .10 | 34 | 50 | 0.5 (0.2 to 1.2) | .10 |
Odds ratios are for the intervention group, compared to the control group. All values account for clustering within physicians.
Adjusted for patient language, gender, years with primary care provider, and HL score.
Management intensive physicians employed >3 management strategies.
HL, health literacy; CI, confidence interval.