Success of Aligned Physician and Patient/Caregiver Online Education on Combination Therapy for T2D Management

Presentation Number: MON 278
Date of Presentation: April 3rd, 2017

Amy Larkin*, Colleen Healy, Susan Grady and Anne Le
Medscape Education


Introduction: Although A1c levels of <7% are associated with health benefits, nearly half of patients are not meeting recommended A1c targets. To achieve optimal glycemic control, healthcare providers (HCPs) must individualize type 2 diabetes (T2D) management plans. In this era of patient-centered care, patient education is an important, though often missing, component of treatment. Further, aligned provider and patient education supports shared decision-making and patient engagement, which improve outcomes. We sought to determine if an online parallel physician-patient education intervention could improve knowledge/competence of HCPs and knowledge of patients/caregivers related to T2D management with combination therapy.

Methods: Two online CME activities were developed as 30-minute roundtable discussions with 3 leading experts on overcoming psychosocial barriers to, and the role of fixed-dose combination therapy in, T2D management. The activities included transcripts and downloadable slide decks to reinforce key concepts and recommendations. A chi-squared test assessed if the mean post‐assessment score differed from the mean pre‐assessment score. The CME activities also included a link to three interactive patient/caregiver education modules, developed in parallel, to educate patients and their caregivers about diabetes progression and combination therapies for T2D management. Patient/caregiver responses post-education were compared to pre-education responses to measure improvement in knowledge.


Results: A total of 380 primary care physicians (PCPs) and 99 diabetologists/endocrinologists (diabs/endos) participated in the CME activity and answered all pre- and post-assessment questions. In addition, 5696 learners participated in the patient/caregiver education and completed the pre- and post-education questions.


  • Significant improvements (all P < .05) post-assessment vs pre-assessment were observed including:

    • Identifying appropriate place in therapy of fixed-dose combination therapy (27% increase diabs/endos; 26% increase PCPs)

    • Identifying patient barriers to effective diabetes management (32% increase diabs/endos; 28% increase PCPs)

    • Identifying fixed-dose combination therapy as a strategy to improve adherence (32% increase diabs/endos; 14% increase PCPs)


  • Patients/caregivers demonstrated improved knowledge related to diabetes management:

    • 29% improved their knowledge related to benefits of controlling blood glucose

    • 21% improved their knowledge related to medications and their associated side effects

    • 17% improved their knowledge related to benefits of fixed-dose combination therapy


Conclusion: This study demonstrates that well-designed aligned HCP and patient/caregiver education can be successful in improving knowledge/competence of key components of successful T2D management.


Nothing to Disclose: AL, CH, SG, AL