An RCT Evaluation of a Diabetes Dashboard Team Model in Primary Care

Case Management for Underserved Hispanic Type 2 Diabetes Populations

To compare a comprehensive diabetes team care condition (IC) involving the diabetes team's use of a "diabetes dashboard" with a usual diabetes team care condition (UDC) that does not have access to the diabetes dashboard.

To compare a usual diabetes care condition (UDC) to a comprehensive diabetes care intervention condition (IC) involving a "diabetes dashboard" clinical decision support tool used by the diabetes team in primary care. The investigators used a parallel-groups randomized design. The diabetes team (i.e., diabetes nurses, diabetes dietitians, and providers) delivered a 5-visit, 6-month intervention to n=199 poorly-controlled (HbA1c >7.5%) Latino T2D patients (mean age=55 years, 60% female) seen at 2 urban community health centers. This intervention was compared to an established, in-house diabetes team care program (n=200) for its impact on blood glucose control and key psychosocial outcomes (diabetes distress, depression, social distress).

Inclusion Criteria:

• age 18 years or older,
• self-identified Hispanic ethnicity,
• diagnosis of T2D,
• HbA1c >7.5%, and
• provider approval given for patient participation

Exclusion Criteria:

• inability to consent,
• pregnant or planning to become pregnant in the next year,
• taking glucocorticoid therapy, or
• having serious psychiatric or medical complications (e.g., late stage diabetes complications, seizures, dementia, psychiatric hospitalization) that would prevent participation in study activities.