Office-GAP is a program designed to improve treatment for patients with diabetes and heart disease through shared decision making. The COMRADE survey was used to assess patient satisfaction with physician communication and confidence in decisions before and after the Office-GAP intervention at 3 and 6 months. Preliminary results are still being analyzed but the study aims to show that shared decision making through Office-GAP can increase patient satisfaction and confidence in healthcare decisions.

1. IMPACT OF OFFICE-GAP PROGRAM ON PATIENT SATISFACTION AND
CONFIDENCE IN DECISION MADE
Daniel N. Nguyen-Tran
Home Institution: Michigan State University College of Human Medicine
Category: Biological Sciences
Location: TBA
Mentor(s): Adesuwa Olomu, MD (Medicine), Elahé Crockett, PhD (Medicine), Esha Kumar, BS
(Medicine), Saman Kandola, MBBS (Medicine)
Introduction: Shared Decision Making (SDM) is a process that allows patients and their
physicians to make a health care decision together. Both patients and their physicians take into
account the best treatment available that would be beneficial for the patient. Objective:
Determine the impact of Office-Guidelines Applied in Practice (GAP) Intervention on patient
satisfaction. Method: Office-GAP program was designed to improve prevention and treatment
of patients with diabetes and heart diseases for minorities and low-income populations in
Michigan Federally Qualified Health Centers (FQHCs). The “Combined Outcome Measure for
Risk communication And treatment Decision making Effectiveness” (COMRADE) survey was
used to assess the patients’ satisfaction with their physician communication. COMRADE is used
to measure patients’ satisfaction with physician communication and patient confidence in
decision made. The survey which consist of twenty questions is given at the initial group visit
(pre-GAP) and at two post-GAP visits (3,6 months). All twenty questions use a Likert response
format (1=strongly disagreed to 5= strongly agreed). Research assistants explained the
questions and helped only patients with limited literacy to complete the forms at each visit.
Results and Conclusion: We have successfully collected some data that are currently under
review and analysis, and will be presented at the MID-SURE Presentation. We anticipate that
our results may provide a rationale for a better health care for patients. Support: Daniel
Nguyen-Tran is a REPID scholar supported by NIH-5-R25-HL108864 award to Elahé Crockett,
REPID-Program Director