Delivering diabetes shared medical appointments in primary care: early and mid-program adaptations and implications for successful implementation.

ABSTRACT:

Background

Self-management is essential for good outcomes in type 2 diabetes and patients often benefit from self-management education. Shared medical appointments (SMAs) can increase self-efficacy for self management but are difficult for some primary care practices to implement. Understanding how practices adapt processes and delivery of SMAs for patients with type 2 diabetes may provide helpful strategies for other practices interested in implementing SMAs.

Methods

The Invested in Diabetes study was a pragmatic cluster-randomized, comparative effectiveness trial designed to compare two different models of diabetes SMAs delivered in primary care. We used a multi-method approach guided by the FRAME to assess practices' experience with implementation, including any planned a

SUBMITTER: Nederveld A 

PROVIDER: S-EPMC9936115 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature