Comparing Strategies for Translating Self-management Support Into Primary Care

Comparing Strategies for Translating Self-management Support Into Primary Care

This project will test different ways of helping primary care practices to do a better job of self-management support (SMS) for their patients with diabetes.

The specific aims of the proposed study are:

• Primary Specific Aims

  1. To conduct a cluster randomized trial to examine the reach, effectiveness, adoption, implementation and maintenance (RE-AIM) of Connection to Health (CTH) for patients with type 2 diabetes in primary care practice settings. Primary effectiveness outcomes will include hemoglobin A1c, Body Mass Index (BMI), blood pressure and Low Desity Lipprotein (LDL) cholesterol.
  2. To determine the incremental benefit, using the RE-AIM framework, of brief targeted practice coaching on the implementation of CTH in diverse primary care practices.

• Secondary Specific Aims

  1. To identify key practice characteristics (e.g., practice size, organization, setting, and level of experience with practice redesign efforts) that impact CTH RE-AIM. These results will inform dissemination of the CTH intervention.
  2. To determine the relative costs associated with implementing CTH and practice coaching to further inform dissemination efforts.

Inclusion Criteria:

• Age 21 years old or over
• Type 2 Diabetes Mellitus diagnosed for a minimum of 12 months
• Able to read in English or Spanish
• Plan to remain in the practice during the study period

Exclusion Criteria:

• Developmentally disabled
• Decisionally challenged
• Pregnant women