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Published in: BMC Health Services Research 1/2022

Open Access 01-12-2022 | Research

Assessing the effectiveness of a diabetes group visit training for health center staff: a pilot study of five Midwestern community health centers

Authors: Priscilla A. Barnes, Ivana Barouhas, Erin M. Staab, Amanda Benitez, Jefferine Li, Amanda Campbell, Cynthia T. Schaefer, Michael Quinn, Arshiya A. Baig

Published in: BMC Health Services Research | Issue 1/2022

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Abstract

Background

Diabetes group visits are shared appointments that include diabetes education in a group setting and individual visits with a medical provider. An 18-month pilot study was designed to evaluate organizational capacity and staff preparedness in implementing and sustaining diabetes group visits.

Results

Data were collected and analyzed from pre-post assessments and key informant interviews with community health center (CHC) staff (N = 26) from teams across five Midwestern states. Overall, participants demonstrated high baseline knowledge and awareness about diabetes group visit implementation. Changes in attitudes and practices did occur pertaining to familiarity with billing and increased awareness about potential barriers to diabetes group visit implementation. Key assets to diabetes group visit implementation were access to pre-designed resources and materials, a highly motivated team, and supportive leadership. Key obstacles were socioeconomic challenges experienced by patients, constraints on staff time dedicated to group visit implementation, and staff turnover.

Conclusions

Results of the study provide a framework for implementation of diabetes group visit trainings for CHC staff. Future research is needed to assess the training program in a larger sample of CHCs.
Literature
2.
go back to reference Kim S. Burden of hospitalizations primarily due to uncontrolled diabetes: implementations of inadequate primary health care in the U.S. Diabetes Care. 2007;30(5):1281–2.CrossRef Kim S. Burden of hospitalizations primarily due to uncontrolled diabetes: implementations of inadequate primary health care in the U.S. Diabetes Care. 2007;30(5):1281–2.CrossRef
4.
go back to reference American Diabetes Association. Economic costs of diabetes in the US in 2017. Diabetes Care. 2018;41(5):917–28.CrossRef American Diabetes Association. Economic costs of diabetes in the US in 2017. Diabetes Care. 2018;41(5):917–28.CrossRef
5.
go back to reference Davis AM, Sawyer DR, Vinci LM. The potential of group visits in diabetes care. Clin Diabetes. 2008;26(2):58–62.CrossRef Davis AM, Sawyer DR, Vinci LM. The potential of group visits in diabetes care. Clin Diabetes. 2008;26(2):58–62.CrossRef
7.
go back to reference Kirsh S, Watts S, Pascuzzi K, O’day ME, Davidson D, Strauss G, et al. Shared medical appointments based on the chronic care model: a quality improvement project to address the challenges of patients with diabetes with high cardiovascular risk. BMJ Qual Safety. 2007;16(5):349–53.CrossRef Kirsh S, Watts S, Pascuzzi K, O’day ME, Davidson D, Strauss G, et al. Shared medical appointments based on the chronic care model: a quality improvement project to address the challenges of patients with diabetes with high cardiovascular risk. BMJ Qual Safety. 2007;16(5):349–53.CrossRef
9.
go back to reference Edelman D, Gierisch JM, McDuffie JR, Oddone E, Williams JW. Shared medical appointments for patients with diabetes mellitus: a systematic review. J Gen Intern Med. 2015;30(1):99–106.CrossRef Edelman D, Gierisch JM, McDuffie JR, Oddone E, Williams JW. Shared medical appointments for patients with diabetes mellitus: a systematic review. J Gen Intern Med. 2015;30(1):99–106.CrossRef
10.
go back to reference Leung AK, Buckley K, Kurtz J. Sustainability of clinical benefits gained during a multidisciplinary diabetes shared medical appointment after patients return to usual care. Clin Diabetes. 2018;36(3):226–31.CrossRef Leung AK, Buckley K, Kurtz J. Sustainability of clinical benefits gained during a multidisciplinary diabetes shared medical appointment after patients return to usual care. Clin Diabetes. 2018;36(3):226–31.CrossRef
12.
go back to reference Riley SB, Marshall ES. Group visits in diabetes care: a systematic review. Diabetes Educator. 2010;36(6):936–44.CrossRef Riley SB, Marshall ES. Group visits in diabetes care: a systematic review. Diabetes Educator. 2010;36(6):936–44.CrossRef
15.
go back to reference Sanchez I. Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. Diabetes Educator. 2011;37(3):381–91.CrossRef Sanchez I. Implementation of a diabetes self-management education program in primary care for adults using shared medical appointments. Diabetes Educator. 2011;37(3):381–91.CrossRef
16.
go back to reference Berry DC, Williams W, Hall EG, Heroux R, Bennett-Lewis T. Imbedding interdisciplinary diabetes group visits into a community-based medical setting. Diabetes Educator. 2016;42(1):96–107.CrossRef Berry DC, Williams W, Hall EG, Heroux R, Bennett-Lewis T. Imbedding interdisciplinary diabetes group visits into a community-based medical setting. Diabetes Educator. 2016;42(1):96–107.CrossRef
17.
go back to reference Han HR, McKenna S, Nkimbeng M, Wilson P, Rives S, Ajomagberin O, et al. A systematic review of community health center based interventions for people with diabetes. J Community Health. 2019;44(6):1253–80.CrossRef Han HR, McKenna S, Nkimbeng M, Wilson P, Rives S, Ajomagberin O, et al. A systematic review of community health center based interventions for people with diabetes. J Community Health. 2019;44(6):1253–80.CrossRef
18.
go back to reference Barnes PA, Staab EM, Campbell A, Schaefer C, Quinn MT, Baig AA. Organizational factors influencing the early implementation process of diabetes group visits by five midwestern community health centers: a multisite case study analysis. Popul Health Manag. 2020;23(4):297–304.CrossRef Barnes PA, Staab EM, Campbell A, Schaefer C, Quinn MT, Baig AA. Organizational factors influencing the early implementation process of diabetes group visits by five midwestern community health centers: a multisite case study analysis. Popul Health Manag. 2020;23(4):297–304.CrossRef
19.
go back to reference Baig AA, Locklin CA, Campbell A, Schaefer CT, Heuer LJ, Lee SM, et al. Community health center access to resources for their patients with diabetes. J Immigr Minor Health. 2014;16(3):553–8.CrossRef Baig AA, Locklin CA, Campbell A, Schaefer CT, Heuer LJ, Lee SM, et al. Community health center access to resources for their patients with diabetes. J Immigr Minor Health. 2014;16(3):553–8.CrossRef
21.
go back to reference Shi L, et al. Characteristics of ambulatory care patients and services: a comparison of community health centers and physicians' offices. J Health Care Poor Underserved. 2010;21(4):1169–83.PubMed Shi L, et al. Characteristics of ambulatory care patients and services: a comparison of community health centers and physicians' offices. J Health Care Poor Underserved. 2010;21(4):1169–83.PubMed
22.
go back to reference Shin P, Sharac J, Rosenbaum S. Community health centers and Medicaid at 50: an enduring relationship essential for health system transformation. Health Aff. 2015;34:1096–104.CrossRef Shin P, Sharac J, Rosenbaum S. Community health centers and Medicaid at 50: an enduring relationship essential for health system transformation. Health Aff. 2015;34:1096–104.CrossRef
24.
go back to reference Saldana J. The coding manual for qualitative researchers. Los Angeles: SAGE Publications; 2013. Saldana J. The coding manual for qualitative researchers. Los Angeles: SAGE Publications; 2013.
27.
go back to reference Noffsinger EB, Scott JC. Understanding today's group visit models. Permanente J. 2000;4(2):99–112. Noffsinger EB, Scott JC. Understanding today's group visit models. Permanente J. 2000;4(2):99–112.
28.
go back to reference Baig AA, Staab EM, Benitez A, Hermans SP, Ham SA, Wan W, et al. Impact of diabetes group visits on patient clinical and self-reported outcomes in community health centers. BMC Endocr Disord. 2022;22(1):1–10.CrossRef Baig AA, Staab EM, Benitez A, Hermans SP, Ham SA, Wan W, et al. Impact of diabetes group visits on patient clinical and self-reported outcomes in community health centers. BMC Endocr Disord. 2022;22(1):1–10.CrossRef
Metadata
Title
Assessing the effectiveness of a diabetes group visit training for health center staff: a pilot study of five Midwestern community health centers
Authors
Priscilla A. Barnes
Ivana Barouhas
Erin M. Staab
Amanda Benitez
Jefferine Li
Amanda Campbell
Cynthia T. Schaefer
Michael Quinn
Arshiya A. Baig
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2022
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-022-08108-w

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