Advancing Person-Centered Diabetes Care: Turning Patients’ Priorities Into Action

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The QBSafe cluster randomized trial enrolled 143 adults with type 2 diabetes and HbA1c levels above 8% at a federally qualified health center.
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The intervention used patient-selected conversation cards to set visit agendas without increasing encounter duration; clinicians discussed the cards early in 88.9% of intervention visits.
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At 6 months, the intervention did not significantly improve illness and treatment intrusiveness, HbA1c, treatment burden, diabetes distress, or quality of life.
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Intervention participants had higher medication adherence than controls (77.2% vs 64.6%) and more frequent diabetes medication changes (33.8% vs 23.2%).
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The authors propose linking agenda-setting tools with broader clinical and community support to help address the priorities patients raise.

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