PT  - JOURNAL ARTICLE
AU  - Andrea L. Nederveld
AU  - Dennis Gurfinkel
AU  - Patrick Hosokawa
AU  - R. Mark Gritz
AU  - L. Miriam Dickinson
AU  - Phoutdavone Phimphasone-Brady
AU  - Jeanette A. Waxmonsky
AU  - Bethany M. Kwan
TI  - The Psychosocial Needs of Patients Participating in Diabetes Shared Medical Appointments
AID  - 10.3122/jabfm.2022.220062R1
DP  - 2022 Dec 02
TA  - The Journal of the American Board of Family
                Medicine
PG  - jabfm.2022.220062R1
4099  - http://www.jabfm.org/content/early/2022/12/01/jabfm.2022.220062R1.short
4100  - http://www.jabfm.org/content/early/2022/12/01/jabfm.2022.220062R1.full
AB  - Background: Patient reported outcomes (PROs) for diabetes are self-reported and often give insight into outcomes important to people with diabetes. Federally Qualified Health Centers (FQHCs) see patients who may have higher levels of diabetes distress and lower levels of self-care behaviors.Methods: The Invested in Diabetes study is a comparative effectiveness trial of diabetes Shared Medical Appointments (SMAs) in FQHCs and non-FQHC settings. PROs measure outcomes including validated measures on diabetes distress.Setting and Participants: 616 people from 22 practices completed PROs prior to SMAs. At FQHCs, participants were younger (average 57.7 years vs 66.9 years, p < 0.0001), more likely to be female (36.8% vs 46.1%, p = 0.02), and fewer spoke English (72.7% vs 99.6%, p < 0.0001).Results: At FQHCs, diabetes distress was higher (2.1 vs 1.8, P = .02), more people were current smokers (14.3% vs 4.7%, P = .0002), on insulin (48.9% vs 22.3%, P < .0001) and reported food insecurity (52.7% vs 26.2%, P < .0001). After controlling for sociodemographic factors, these differences were nonsignificant.Conclusions: Higher numbers of patients at FQHCs report diabetes distress and food insecurity compared with patients in non-FQHC settings, indicating that patient social circumstances need to be considered as part of program implementation.