Delivering Biopsychosocial Health Care Within Routine Care: Spotlight-AQ Pivotal Multicenter Randomized Controlled Trial Results
Authors' conclusion
Spotlight-AQ was associated with shorter, more useful consultations; with improved HbA1c and moderate benefits on psychosocial outcomes. Results reflect the importance of a biopsychosocial approach to routine care visits. Spotlight-AQ is viable across health care settings for improved outcomes.
Study context
- Population
- Adults diagnosed with T1D or T2D for ≥6 months, any HbA1c and any diabetes treatment, routine diabetes consultations across health care settings
- Participants
- 98 adults
- Comparison
- Spotlight-AQ platform vs usual care
- Interventionn = 49
- Primary endpoint
- Consultation duration
Methodological detailsmulticenter, parallel group, individually randomized
- Multicenter
- Parallel group
- Individually randomized
Primary result
As reported in the abstract
Intervention: consultation duration reduced
0.5 to 4.1 minutes
3%–14%
Control: no change
−0.9 to +1.28 minutes
Secondary outcomes
HbA1c improvement
Psychosocial outcomes (functional health status, anxiety, depression, diabetes distress, well-being)
- Moderate improvements with intervention; none statistically significant
HCP-reported consultation experience
- HCPs reported improved communication and greater focus on patient priorities
Machine learning analyses
- Therapy and psychological burden most important in predicting HbA1c
- NLP confirmed question-concern mapping
- T1D and T2D patients have different concerns on psychological burden and knowledge
Original publication
Delivering Biopsychosocial Health Care Within Routine Care: Spotlight-AQ Pivotal Multicenter Randomized Controlled Trial Results. J Diabetes Sci Technol. Published 23 June 2023. doi:10.
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