Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes.

ABSTRACT:

Background

Rural patients with type 2 diabetes (T2D) may experience poor glycemic control due to limited access to T2D specialty care and self-management support. Telehealth can facilitate delivery of comprehensive T2D care to rural patients, but implementation in clinical practice is challenging.

Objective

To examine the implementation of Advanced Comprehensive Diabetes Care (ACDC), an evidence-based, comprehensive telehealth intervention for clinic-refractory, uncontrolled T2D. ACDC leverages existing Veterans Health Administration (VHA) Home Telehealth (HT) infrastructure, making delivery practical in rural areas.

Design

Mixed-methods implementation study.

Participants

230 patients with clinic-refractory, uncontrolled T2D.

Intervention

ACDC bundles te

SUBMITTER: Kobe EA 

PROVIDER: S-EPMC8722663 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature