Table 3.
Typical configuration of group models, as represented by included studies in the primary care setting
Model (no. of articles) | Duration of each group session | Duration of individual consultation | Group size | Clinical intervention | Nonclinical components | Intervention team | |
---|---|---|---|---|---|---|---|
Disciplines (no. of articles) | Size | ||||||
CHCC (5) | 90–120 min | 5–10 min each at end of group session | 6–20 |
Vital signs Lab results review and medical records update Medication management Preventive measures Scheduling Medical-related paperwork requested by pts Brief 1:1 visits with physician, as necessary |
Socialization Health education Group cohesion |
PCP (5) Nurse, RN or diabetes nurse educator (5) Clinical pharmacist (2) PT, OT (2) Dietitian (2) Community health worker (1) |
2–5 |
SMA / GV(10) | 60–90 min | Optional 10 mins each or 24 mins total allotted at end of group session | 5–15 |
Vital signs Lab results review and medical records update Routine lab test orders 1:1 indiv consultation with physician, as necessary Health risk assessment Medication management Referrals, coordination of public health services |
Orientation and socialization Interactive health education Group cohesion Self-monitoring Group discussion Medication compliance |
1–2 physicians (9) Nurse, NP, RN (2) Diabetes educator/ RD (4) Clin psychologist, psychopedagogist (3) 1–2 postgraduate med students (1) Others (2) |
2–7 |
GPNC / CPa(11) | 90–120 min | 10 mins each at beginning of group session | 8–12 |
Vital signs Physical exam Routine prenatal screening and labs Routine ultrasound Flu vaccine (seasonal) Postpartum visit Individual assessments prior to prenatal care within group setting |
Group discussion, self-care, skills-building Active tracking of pregnancy changes (done by pts) Tour of birth unit, labor and delivery nurse Pediatric care resources Postpartum reunion |
1–2 CNMs (8) NP (3) Medical asst (3) Physician (2) Health / perinatal educator (1) Others (1) |
2 + others invited |
Abbreviations: CHCC Cooperative health care clinic, CNM Certified nurse midwife, CP CenteringPregnancy®, GPNC Group prenatal care, GV Group visit, NP Nurse practitioner, OT Occupational therapist, PCP Primary care physician, PT Physical therapist, RD Registered dietitian, RN Registered nurse, SMA Shared medical appointment
aWk 5–10: First visit w/ nurse. Wk 10–12: First visit with clinician. Wk 12–16: Start CP program