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Self-management education, support, improved clinical health outcomes in patients with diabetes

March 24, 2015

Improving patient-centered medical homes and clinical health outcomes is possible with the integration and delivery of diabetes self-management education and diabetes self-management support, according to recent study findings published in The Diabetes Educator.

Charles E. Sepers Jr., BS, of the University of Kansas Work Group for Community Health and Development, and colleagues evaluated 173 patients from four patient-centered medical homes to determine the effects of a multisite coordinated care approach that delivered diabetes self-management education (DSME) and diabetes self-management support (DSMS). The coordinated care approach included a DSME program with patient-tailored curricula, a DSMS program aimed at targeting the needs of underserved populations, better access to care services and changes to practice to target improving quality of diabetes clinical care. Intervention delivery began by October 2011, and program funding ended in July 2012. Some intervention elements continued after funding ended.
Researchers used key informant interviews with patient-centered medical home staff to determine implementation and sustainability of the intervention. Clinical health indicators, HbA1c, BMI, blood pressure, lipids and the American Association of Diabetes Educators 7 Self-Care Behaviors instrument were used to measure outcomes at baseline and 6 months.

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