The American Association of Diabetes Educators (AADE) aimed to provide culturally appropriate diabetes education, ongoing support for diabetes self-management, and create an operationalized model of diabetes self-management support (DSMS) in this phase of their efforts. The AADE conducted a randomized controlled trial across four sites in order to evaluate the efficacy of these supports. A total of 512 patients across four sites were enrolled in the study. All patients received diabetes self-management education (DSME) that lasted up to 6 months per patient. After the delivery of DSME, half of the patients (64 at each partner site) were randomly selected to also receive DSMS. DSMS consisted of at least monthly telephone-based contact with patient supporters as well as personalized support for achieving individual diabetes self-management goals.
- Patience and tenacity are necessary during the partner recruitment process
- Limiting the number of implementation sites can reduce variability between sites
- Employing a single call center across all sites ensures the intervention will be delivered the same way to all