Rationale and development of a randomized pragmatic trial to improve diabetes outcomes in patient-centered medical homes serving rural patients

Proper diabetes self-care requires patients to have considerable knowledge, a range of skills, and to sustain multiple health behaviors. Self-management interventions are needed that can be readily implemented and sustained in rural clinics with limited resources that disproportionately care for patients with limited literacy. Researchers on our team developed an evidence-based, patient-centered, low literacy intervention promoting diabetes self-care that includes: 1) the American College of Physicians (ACP) Diabetes Guide that uses plain language and descriptive photographs to teach core diabetes concepts and empower patients to initiate behavior change; 2) a brief counseling strategy to assist patients in developing short-term, explicit and attainable goals for behavior change ( ‘action plans’); and 3) a training module for health coaches that prepares them to assume educator/counselor roles with the Diabetes Guide as a teaching tool.

Source: Contemporary Clinical Trials - September 19, 2018 Category: Radiology Authors: Kristie B. Hadden, Connie L. Arnold, Laura M. Curtis, Jennifer M. Gan, Scott Hur, Mary Kwasny, Jean C. McSweeney, Latrina Y. Prince, Michael S. Wolf, Terry C. Davis Source Type: research