Diabetes care · 2025
Pilot Pragmatic Trial of a Community Paramedic Diabetes Self-Management Education Program for Adults With Diabetes.
СтатьяНазвание и аннотация: Перевод в очереди
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Ducharme-Smith Allison, Juntunen Michael, Espinoza Anna, Liedl Chad, Fischer Karen, Meilander Angela, Quillen Jaxon, McCoy Rozalina G
Аннотация
OBJECTIVE: To evaluate the impact of community paramedic (CP)-delivered, in-home diabetes self-management education and support (DSMES) for adults with poorly managed diabetes.
RESEARCH DESIGN AND METHODS: In a pragmatic, single-arm pilot trial, adults with HbA1c ≥9% and a recent emergency department or hospital visit received a 1-month CP-led DSMES intervention. Outcomes included HbA1c, health care engagement, and patient-reported satisfaction.
RESULTS: Seventy participants (median age 61 years, 50% rural, 84% with type 2 diabetes) completed the intervention. HbA1c declined from 9.8% to 8.2% at 4 months (P < 0.001). Engagement with primary care, endocrinology, and DSMES improved. Satisfaction was high (mean rating 9 out of 10).
CONCLUSIONS: CP-led DSMES improved glycemic management and care engagement in underserved populations. This scalable model warrants further study.
RESEARCH DESIGN AND METHODS: In a pragmatic, single-arm pilot trial, adults with HbA1c ≥9% and a recent emergency department or hospital visit received a 1-month CP-led DSMES intervention. Outcomes included HbA1c, health care engagement, and patient-reported satisfaction.
RESULTS: Seventy participants (median age 61 years, 50% rural, 84% with type 2 diabetes) completed the intervention. HbA1c declined from 9.8% to 8.2% at 4 months (P < 0.001). Engagement with primary care, endocrinology, and DSMES improved. Satisfaction was high (mean rating 9 out of 10).
CONCLUSIONS: CP-led DSMES improved glycemic management and care engagement in underserved populations. This scalable model warrants further study.