Short videos on discussing deprescribing with clinicians may aid patients who have type 2 diabetes and cognitive impairment and their caregivers, new research indicates.
Patients with type 2 diabetes and cognitive impairment and their caregivers could find short videos on how to talk to clinicians about deprescribing helpful, according to researchers presenting on May 10 at the 2024, or related dementias, and their caregivers. They conducted a small study of nine patient-caregiver dyads at Kaiser Permanente in northern California.
The dyads watched four videos, each up to 5 minutes in length. Each video provided information on diabetes care, tips for discussing their diabetes medications with their clinicians, and preparation for upcoming medical visits. Written action plans to help patients initiate conversations for deprescribing with their clinicians were included.
A qualitative analysis found that the videos helped both patients and caregivers improve their understanding of type 2 diabetes andIt"bridged the gap between patient and doctor," one patient reported. Concrete examples of physician and patient communication in the videos were also helpful, according to one caregiver.
However, some caregivers reported that they still feel hesitant to speak up with a clinician, despite the video information. Others said they were confused about whether discussions should take place with the patient's primary clinician or specialist. One caregiver suggested that the videos should contain more information about the role of blood sugar levels in cognitive impairment.
Several patients with cognitive impairment reported difficulty understanding and remembering key program points without caregiver assistance. Feedback also pointed to need for additional refinements, such as offering online and written formats, and further simplification of information.mild cognitive impairmentvalue ≤ 8%, and had mild cognitive impairment or early Alzheimer's disease. Cognition was determined by chart review and validated assessments.
Diabetes Mellitus Type Ii Type 2 Diabetes Type 2 DM T2DM T2D Mild Cognitive Impairment MCI - Mild Cognitive Impairment Minimal Cognitive Impairment MCI Mild Cognitive Impairment (MCI) Cognitive Impairment Caregiver Alzheimer's Disease Alzheimer Disease Dementia Patient Safety Patient Counseling Physician-Patient Communication
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