title: Shared and individual medical appointments for children and adolescents with type 1 diabetes; differences in topics discussed?
abstract: OBJECTIVE
  The purpose of this study was to examine differences in the type of topics discussed during shared medical appointments (SMAs) and traditional individual outpatient visits for children and adolescents with type 1 diabetes. In addition, differences between the conversational contributions of the participants were examined.
  
  
  METHODS
  Videotapes of 42 individual outpatient visits and 5 SMAs with 31 children or adolescents were collected and observed using a checklist of topics adapted from the international consensus guideline for the management of type 1 diabetes in childhood and adolescents. Furthermore, patients reported about their experience with the information and support provided during an SMA. Data analysis was performed using one-way ANOVAs and univariate variance analysis.
  
  
  RESULTS
  In SMAs, more diabetes-related topics were discussed. During SMAs, the conversational contributions of the different participants seemed to be more equally distributed than during traditional individual outpatient visits. Participants felt that they had learned most from the presence of other patients and their questions.
  
  
  CONCLUSIONS
  More diabetes-related topics are covered in SMAs than in individual outpatient pediatric follow-up visits.
  
  
  CONCLUSIONS
  SMAs seem to offer an appreciated variation on the regular diabetes care for children and adolescents.
authors.affiliation: NIVEL (Netherlands institute for health services research), Utrecht, The Netherlands.
authors.forename: Christa
authors.initials: C
authors.lastname: Rijswijk
authors.forename: Else
authors.initials: E
authors.lastname: Zantinge
authors.forename: Femke
authors.initials: F
authors.lastname: Seesing
authors.forename: Ilse
authors.initials: I
authors.lastname: Raats
authors.forename: Sandra
authors.initials: S
authors.lastname: van Dulmen
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D001071:Appointments and Schedules; D057189:Checklist; D002648:Child; D003142:Communication; D003922:Diabetes Mellitus, Type 1; D005260:Female; D006126:Group Processes; D006801:Humans; D008297:Male; D009426:Netherlands; D010045:Outpatients; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D055815:Young Adult