RT Journal Article
SR Electronic
T1 The Psychosocial Needs of Patients Participating in Diabetes Shared Medical Appointments
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP jabfm.2022.220062R1
DO 10.3122/jabfm.2022.220062R1
A1 Nederveld, Andrea L.
A1 Gurfinkel, Dennis
A1 Hosokawa, Patrick
A1 Gritz, R. Mark
A1 Dickinson, L. Miriam
A1 Phimphasone-Brady, Phoutdavone
A1 Waxmonsky, Jeanette A.
A1 Kwan, Bethany M.
YR 2022
UL http://www.jabfm.org/content/early/2022/12/01/jabfm.2022.220062R1.abstract
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.