Interpretation in the context of existing literature
T2DM, diabetes
DIABETES
The results of our study showed that a shared goal setting with T2DM patients had no significant impact on glycemic goal achievement. This prompted the question what impact the involvement of the patient in the decision-making process in primary care has on improving patient-relevant outcomes.Kashaf et al. [Lafata et al. 2013 concluded that shared goal setting may not directly but indirectly lead to better glycemic control by increasing patients’ perceived self-management skills and improving the patient-physician relationship [Another possible explanation why a shared goal setting does not lead to better glycemic goal achievement, may be due to the fact that lowering blood glucose levels is not a top priority for T2DM patients. Thus, Buhse et al. showed, that T2DM patients prioritized blood pressure control rather than intensive blood glucose control [These findings suggest that the effectiveness of a shared goal setting on patient-related clinical outcomes within the process of SDM has not been fully captured yet and that broader conceptualization and measurement of SDM should be applied in future research [Research has shown that SDM is not well operationalized in routine clinical practice. In a systematic review Gärtner et al. examined the quality of instruments used to assess the process of SDM. The results have shown that there is an overall lack of evidence on the quality of the measurements [From our study, we also found that patients living with another person were more likely to reach their HbA1c target than patients living alone. This outcome is contrary to that of Stopford et al. 2013 who conducted a systematic review aiming to analyse the association between social support and glycemic control in T2DM. The results indicate that the marital status or living with a partner may be associated with worse glycemic control, but the evidence was limited. However, family support was found to have a beneficial effect on glycemic control [Generally, there seems to be a consensus that the support of informal health supporters play an important role in managing and controlling diabetes [