Feasibility of Spotlight Consultations Tool in Routine Care: Real-World Evidence. (July 2022)

• Record Type: Journal Article
• Authors: Barnard-Kelly, Katharine; Kelly, Ryan Charles; Chernavvsky, Daniel; Lal, Rayhan; Cohen, Lauren; Ali, Amar
• Is Part Of: Journal of diabetes science and technology. Volume 16:Number 4(2022)
• Page Start: 939
• Page End: 944
• Publication Date: 2022-07
• Subjects: psychosocial -- communication -- routine care -- spotlight AQ; Diabetes -- Periodicals; Medical technology -- Periodicals; Diabetes Mellitus -- Periodicals; 616.462005
• DOI: 10.1177/1932296821994088
• Languages: English
• ISSNs: 1932-2968

Abstract

Background: Burnout in people with diabetes and healthcare professionals (HCPs) is at an all-time high. Spotlight AQ, a novel "smart" adaptive patient questionnaire, is designed to improve consultations by rapidly identifying patient priorities and presenting these in the context of best-practice care pathways to aid consultations. We aimed to determine Spotlight AQ's feasibility in routine care. Materials and Methods: The Spotlight prototype tool was trialed at three centers: two UK primary care centers and one US specialist center (June-September 2020). Participants with type 1 (T1D) or type 2 diabetes (T2D) completed the questionnaire prior to their routine consultations. Results were immediately available and formed the basis of the clinical discussion and decision-making within the clinic visit. Results: A convenience sample of 49 adults took part, n =31 T1D, ( n =18 female); and n =18 T2D ( n =10 male, n =4 female, n =4 gender unreported). Each identified two priority concerns. "Psychological burden of diabetes" was the most common priority concern (T1D n = 27, 87.1%) followed by "gaining more skills about particular aspects of diabetes" (T1D n =19, 61.3%), "improving support around me" ( n =8, 25.8%) and "diabetes-related treatment issues" ( n =8, 25.8%). Burden of diabetes was widespread as was lack of confidence around self-management. Similarly, psychological burden of diabetes was the primary concern for participants with T2D ( n =18, 100%) followed by "gaining more skills about aspects of diabetes" ( n =7, 38.9%), "improving support around me" ( n =7, 38.9%) and "diabetes-related treatment issues" ( n =4; 22.2%). Conclusions: Spotlight AQ is acceptable and feasible for use in routine care. Gaining more skills and addressing the psychological burden of diabetes are high-priority areas that must be addressed to reduce high levels of distress.