Background: Diabetes impacts 1 in 4 patients in the Veterans Health Administration and is associated with serious negative health consequences in addition to high health care system utilization and cost. The Cincinnati Veterans Affairs Medical Center developed Diabetes Basic Training, a 9-week intervention that blends medical consultation with group support and training in self-management strategies for enhancing patient motivation and empowerment.
Observations: Diabetes Basic Training combined 3 monthly shared medical appointments and 6 Diabetes Self-Management Program sessions led in part by trained peers with diabetes.