A Telehealth-supported, Integrated care with CHWs, and MEdication-access (TIME) Program for Diabetes Improves HbA1c: a Randomized Clinical Trial.

ABSTRACT:

Background

Many individuals with diabetes live in low- or middle-income settings. Glycemic control is challenging, particularly in resource-limited areas that face numerous healthcare barriers.

Objective

To compare HbA1c outcomes for individuals randomized to TIME, a Telehealth-supported, Integrated care with CHWs (Community Health Workers), and MEdication-access program (intervention) versus usual care (wait-list control).

Design

Randomized clinical trial.

Participants

Low-income Latino(a) adults with type 2 diabetes.

Interventions

TIME consisted of (1) CHW-participant telehealth communication via mobile health (mHealth) for 12 months, (2) CHW-led monthly group visits for 6 months, and (3) weekly CHW-physician diabetes training and support via telehealt

SUBMITTER: Vaughan EM 

PROVIDER: S-EPMC7878600 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature