Integrating comprehensive geriatric assessment into routine nursing care for older adults with type 2 diabetes: implementation fidelity and clinical outcomes.

ABSTRACT:

Background

Comprehensive geriatric assessment (CGA) offers promise for improving diabetes management in older adults; however, its real-world effectiveness depends on implementation fidelity, which remains poorly understood. This study examined fidelity variations and their associations with clinical outcomes in nurse-led CGA for older adults with type 2 diabetes at a tertiary care hospital in China.

Methods

This cross-sectional implementation study enrolled 3,351 adults aged ≥65 years with type 2 diabetes from Shanghai Jiading District Central Hospital between March 2021 and February 2025. Implementation fidelity was assessed using five validated dimensions yielding a composite score (mean 0.64, SD 0.19; range 0.28-0.94). Primary outcome was glycated hemoglobin (HbA1c); sec

SUBMITTER: Sun Q 

PROVIDER: S-EPMC12490985 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature