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Table 10 Measures of clinicians' behaviour

From: Instrument development, data collection, and characteristics of practices, staff, and measures in the Improving Quality of Care in Diabetes (iQuaD) Study

   

Behaviour

Measure of behaviour

  

Provide advice about weight management

Prescribing for the management of HbA1c

Inspect feet

Provide advice about self-management

Prescribing additional antihypertensive drugs

Provide general patient education

Behaviour simulation scenarios# % (n) would do or would do if time

GPs

Scenario 1

77% (279)

36% (131)

63% (229)

54% (195)

89% (320)

61% (219)

 

Nurses

 

79% (147)

22% (40)

70% (130)

67% (125)

76% (141)

66% (123)

 

GPs

Scenario 2

77% (276)

85% (305)

58% (210)

53% (190)

46% (167)

63% (228)

 

Nurses

 

75% (140)

68% (127)

68% (126)

66% (122)

51% (95)

70% (130)

 

GPs

Scenario 3

68% (246)

22% (78)

52% (188)

41% (149)

81% (294)

53% (191)

 

Nurses

 

70% (130)

18% (34)

67% (124)

60% (112)

65% (121)

62% (115)

 

GPs

Scenario 4

68% (246)

84% (302)

51% (183)

45% (163)

72% (260)

61% (221)

 

Nurses

 

71% (132)

65% (120)

61% (113)

58% (108)

62% (116)

68% (127)

12-month self report ##

GPs

Mean (SD)

7.56 (2.20)

6.93 (2.50)

5.40 (3.47)

7.24 (2.45)

6.68 (2.38)

7.40 (2.44)

 

Nurses

Mean (SD)

9.03 (1.91)

7.96 (2.09)

9.16 (1.89)

8.90 (2.03)

5.91 (3.15)

8.86 (2.20)

Patient report

 

% (n) (single item)

51% (1716)1

n/a

91% (3078)2

68% (2292)3

n/a

73% (2443)4

Patient report

 

N items Mean (SD) (composite)

8

2.50 (2.25)

n/a

n/a

3

1.51 (0.99)

n/a

18

7.44

(5.16)

Practice computer data

  

81.3% (23864/29362) patients with record weight or BMI Mean BMI 30.74 (95% CI: 30.67, 38.83)

58.9% (624/1059) of eligible patients prescribed an additional therapy

77.1% (22640/29362) with record of foot exam

n/a

39.5% (1595/4038) patients prescribed an additional therapy

n/a

  1. # For behaviour simulation, the denominator for GPs was 361 and for nurses, 186.
  2. ## Possible score 0-10.
  3. 1 Responded 'Yes' to the question 'Thinking about the last 12 months, when you received care for your diabetes from a doctor or nurse were you given advice about how to manage your weight?'
  4. 2 Responded 'Yes' to the question 'In the last 12 months have you had your bare feet examined?
  5. 3 Same stem as 1; Responded 'Yes' to the question 'were you given advice about how YOU should manage YOUR diabetes?'
  6. 4 Same stem as 1; Responded 'Yes' to the question 'were you provided with general information about diabetes?'