Visual Abstract

Introduction: PCC processes, such as shared decision-making (SDM) and motivational interviewing (MI), can improve patient satisfaction and treatment adherence in chronic conditions. As part of the CTC study investigating a home telehealth care model for young adults with T1D, we conducted a process evaluation of PCC training for participating providers.

Methods: PCC training consisted of 2 initial 4-hr sessions 1 month before implementation with patients. Over the next 15 months, physicians engaged in ad-hoc peer debriefing and 7 1-hr meetings with trainers to review use of PCC in patient visits. Meetings were recorded, transcribed, and coded using qualitative thematic analysis.

Results: Three pediatric endocrinologists with a cumulative 33 years of attending experience encountered initial difficulties in implementing PCC but found solutions through continuous training and debriefing (Figure 1).

Discussion: Providers suggested ideas for future training iterations that could improve and ease their learning processes. This study serves as a guide that incorporates their direct experiences in adopting PCC, supplying valuable insight to others who undertake the same process.

Disclosure

A. Mittal: None. D. Miller: None. E. Pyatak: None. J. Raymond: None. C. Cheung: None. A. Vidmar: None. J. Diaz: None. J. L. Fogel: None. M. W. Reid: None. E. Salcedo-rodriguez: None. A. Torres sanchez: None.

Funding

The Donaghue Foundation

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