EditorialBrief Report

Increasing Diabetes Self-Management Education and Support Referrals with an Electronic Best Practice Advisory

Laura A Young, Jacqueline R Halladay, Ping Chen, Kathleen Mottus, Karen Goeke-Austin, Jennifer Rees, Maihan B Vu, Erica L Richman, Jordan Sharpe, Aaron Thomas and Katrina E Donahue
The Journal of the American Board of Family Medicine January 2026, 39 (1) 157909; DOI: https://doi.org/10.3122/jabfm.2025.250280R1

References

  1. ↵
    1. Tshiananga J. K.,
    2. Kocher S.,
    3. Weber C.,
    4. Erny-Albrecht K.,
    5. Berndt K.,
    6. Neeser K.
    (2012) The effect of nurse-led diabetes self-management education on glycosylated hemoglobin and cardiovascular risk factors: a meta-analysis. Diabetes Educ 38(1):108–23, doi:10.1177/0145721711423978. .
    OpenUrlCrossRefPubMedWeb of Science
  2. ↵
    1. Steinsbekk A.,
    2. Rygg L. O.,
    3. Lisulo M.,
    4. Rise M. B.,
    5. Fretheim A.
    (2012) Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res 12:213, doi:10.1186/1472-6963-12-213, pmid:22824531, pmcid:PMC3418213. .
    OpenUrlCrossRefPubMed
  3. ↵
    1. Deakin T.,
    2. McShane C. E.,
    3. Cade J. E.,
    4. Williams R. D.
    (2005) Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev (2):CD003417, doi:10.1002/14651858.CD003417.pub2. .
    OpenUrlCrossRefPubMed
  4. ↵
    1. Powers M. A.
    (2016) 2016 Health Care & Education Presidential Address: If DSME Were a Pill, Would You Prescribe It? Diabetes Care 39(12):2101–7, doi:10.2337/dc16-2085. .
    OpenUrlAbstract/FREE Full Text
  5. ↵
    1. Diabetes C.,
    2. Complications Trial Research G.,
    3. Nathan D. M.,
    4. Genuth S.,
    5. Lachin J.,
    6. Cleary P..,
    7. et al.
    (1993) The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. N Engl J Med 329(14):977–86, doi:10.1056/NEJM199309303291401. .
    OpenUrlCrossRefPubMedWeb of Science
  6. ↵
    1. Stratton I. M.,
    2. Adler A. I.,
    3. Neil H. A.,
    4. Matthews D. R.,
    5. Manley S. E.,
    6. Cull C. A..,
    7. et al.
    (2000) Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. BMJ 321(7258):405–12, doi:10.1136/bmj.321.7258.405, pmid:10938048, pmcid:PMC27454. .
    OpenUrlAbstract/FREE Full Text
  7. ↵
    1. He X.,
    2. Li J.,
    3. Wang B.,
    4. Yao Q.,
    5. Li L.,
    6. Song R..,
    7. et al.
    (2017) Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine 55(3):712–31, doi:10.1007/s12020-016-1168-2. .
    OpenUrlCrossRefPubMed
  8. ↵
    1. Li R.,
    2. Shrestha S. S.,
    3. Lipman R.,
    4. Burrows N. R.,
    5. Kolb L. E.,
    6. Rutledge S..,
    7. et al.
    (2014) Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes--United States, 2011-2012. MMWR Morb Mortal Wkly Rep 63(46):1045–9. .
    OpenUrlPubMed
  9. ↵
    1. Strawbridge L. M.,
    2. Lloyd J. T.,
    3. Meadow A.,
    4. Riley G. F.,
    5. Howell B. L.
    (2015) Use of Medicare's Diabetes Self-Management Training Benefit. Health Educ Behav 42(4):530–8, doi:10.1177/1090198114566271. .
    OpenUrlCrossRefPubMed
  10. ↵
    1. Peyrot M.,
    2. Rubin R. R.,
    3. Funnell M. M.,
    4. Siminerio L. M.
    (2009) Access to diabetes self-management education: results of national surveys of patients, educators, and physicians. Diabetes Educ 35(2):246–8. .
    OpenUrlCrossRefPubMedWeb of Science
  11. ↵
    1. Lawal M.,
    2. Woodman A.,
    3. Fanghanel J.,
    4. Ohl M.
    (2017) Barriers to attendance at diabetes education centres: perceptions of education providers. J Diabetes Nurs 21:61–6. .
    OpenUrl
  12. ↵
    1. Krall J. S.,
    2. Kanter J. E.,
    3. Ruppert K. M.,
    4. Arena V. C.,
    5. Solano F. X.,
    6. Siminerio L. M.
    (2021) Effect of a Primary Care-Based Diabetes Education Model on Provider Referrals and Patient Participation. Sci Diabetes Self Manag Care 47(1):74–84, doi:10.1177/0145721720981840. .
    OpenUrlCrossRefPubMed
  13. ↵
    1. James T. L.
    (2021) Improving Referrals to Diabetes Self-Management Education in Medically Underserved Adults. Diabetes Spectr 34(1):20–6, doi:10.2337/ds20-0001, pmid:33627990, pmcid:PMC7887525. .
    OpenUrlAbstract/FREE Full Text
  14. ↵
    1. Lee J.,
    2. Szeto L.,
    3. Pasupula D. K.,
    4. Hussain A.,
    5. Waheed A.,
    6. Adhikari S..,
    7. et al.
    (2019) Cluster Randomized Trial Examining the Impact of Automated Best Practice Alert on Rates of Implantable Defibrillator Therapy. Circ Cardiovasc Qual Outcomes 12(6):e005024, doi:10.1161/CIRCOUTCOMES.118.005024. .
    OpenUrlCrossRefPubMed
  15. ↵
    1. Swedlund M.,
    2. Norton D.,
    3. Birstler J.,
    4. Chen G.,
    5. Cruz L.,
    6. Hanrahan L.
    (2019) Effectiveness of a Best Practice Alerts at Improving Hypertension Control. Am J Hypertens 32(1):70–6, doi:10.1093/ajh/hpy155. .
    OpenUrlCrossRefPubMed
  16. ↵
    1. Singh H.,
    2. Spitzmueller C.,
    3. Petersen N. J.,
    4. Sawhney M. K.,
    5. Sittig D. F.
    (2013) Information overload and missed test results in electronic health record-based settings. JAMA Intern Med 173(8):702–704, doi:10.1001/2013.jamainternmed.61, pmid:23460235, pmcid:PMC3822526. .
    OpenUrlCrossRefPubMedWeb of Science
  17. ↵
    1. Reed H. L.,
    2. Van Schooneveld T. C.,
    3. Reha C. G.,
    4. Bergman S. J.
    (2019) Use of a best practice alert linking Clostridioides difficile infection test results to a severity-based treatment order set. Infect Control Hosp Epidemiol 40(4):467–9, doi:10.1017/ice.2019.18. .
    OpenUrlCrossRefPubMed
  18. ↵
    1. Rabe-Hesketh S.,
    2. Skrondal A.
    (2012) Multilevel and Longitudinal Modeling Using Stata (Stata Press Publication). .
  19. ↵
    1. McDanel D. L.,
    2. Azar A. E.,
    3. Dowden A. M.,
    4. Murray-Bainer S.,
    5. Noiseux N. O.,
    6. Willenborg M..,
    7. et al.
    (2017) Screening for Beta-Lactam Allergy in Joint Arthroplasty Patients to Improve Surgical Prophylaxis Practice. J Arthroplasty 32(9S):S101–S8, doi:10.1016/j.arth.2017.01.012. .
    OpenUrlCrossRefPubMed
  20. ↵
    1. Fitzpatrick S. L.,
    2. Dickins K.,
    3. Avery E.,
    4. Ventrelle J.,
    5. Shultz A.,
    6. Kishen E..,
    7. et al.
    (2017) Effect of an obesity best practice alert on physician documentation and referral practices. Transl Behav Med 7(4):881–90, doi:10.1007/s13142-017-0514-0, pmid:28653221, pmcid:PMC5684083. .
    OpenUrlCrossRefPubMed
  21. ↵
    1. DeSilva M. B.,
    2. Kodet A.,
    3. Walker P. F.
    (2020) A Best Practice Alert for Identifying Hepatitis B?Infected Patients. The American Journal of Tropical Medicine and Hygiene 103(2):884–6, doi:10.4269/ajtmh.20-0041, pmid:32431283, pmcid:PMC7410429. .
    OpenUrlCrossRefPubMed
  22. ↵
    1. Delitto A.,
    2. Patterson C. G.,
    3. Stevans J. M.,
    4. Freburger J. K.,
    5. Khoja S. S.,
    6. Schneider M. J..,
    7. et al.
    (2021) Stratified care to prevent chronic low back pain in high-risk patients: The TARGET trial. A multi-site pragmatic cluster randomized trial. EClinicalMedicine 34:100795, doi:10.1016/j.eclinm.2021.100795, pmid:33870150, pmcid:PMC8040279. .
    OpenUrlCrossRefPubMed
  23. ↵
    1. Bedoya A. D.,
    2. Clement M. E.,
    3. Phelan M.,
    4. Steorts R. C.,
    5. O'Brien C.,
    6. Goldstein B. A.
    (2019) Minimal Impact of Implemented Early Warning Score and Best Practice Alert for Patient Deterioration. Crit Care Med 47(1):49–55, doi:10.1097/CCM.0000000000003439, pmid:30247239, pmcid:PMC6298839. .
    OpenUrlCrossRefPubMed
  24. ↵
    1. Powers M. A.,
    2. Bardsley J. K.,
    3. Cypress M.,
    4. Funnell M. M.,
    5. Harms D.,
    6. Hess-Fischl A..,
    7. et al.
    (2020) Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care 43(7):1636–49, doi:10.2337/dci20-0023. .
    OpenUrlFREE Full Text
  25. ↵
    1. Maniaci M. J.,
    2. Torres-Guzman R. A.,
    3. Avila F. R.,
    4. Maita K.,
    5. Garcia J. P.,
    6. Forte A. J..,
    7. et al.
    (2024) Development and evaluation of best practice advisory alert for patient eligibility in a hospital-at-home program: A multicenter retrospective study. J Hosp Med 19(3):165–74, doi:10.1002/jhm.13275, pmid:38243666, pmcid:PMC10923137. .
    OpenUrlCrossRefPubMed
Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools

Jump to section

Keywords