Rationale, Design and Preliminary Results of ROMEO (Rethink Organization to Improve Education and Outcomes)

Scarcity of resources, expertise and evidence-based models have so far limited delivery of patient-centered therapeutic education in clinical routine. We have developed and validated a Group Care approach that is applicable to everyday practice and cost-effective in improving metabolic control, knowledge of diabetes, health behavior and quality of life in type 2 diabetes. A clinical trial (ROMEO) was planned to evaluate the applicability and reproducibility of Group Care in other centers and in a larger patient population. ROMEO is a multicenter, randomized, controlled clinical trial of group versus individual care in the routine management of type 2 diabetes. Eight hundred and twelve patients aged