AI Article Synopsis
- The study aimed to assess factors affecting glycemic control and engagement in diabetes shared medical appointments (SMAs) among underserved patients with type 2 diabetes.
- Focus groups with 50 patients highlighted the benefits of social support and access to care through SMAs, but also identified barriers like poor diet, financial struggles, and transportation issues.
- Differences between patient groups were noted, with controlled patients motivated by fear of complications, while poorly-controlled patients faced challenges from comorbidities, negative family influences, and feelings of distress or fatalism.
Article Abstract
Objective: The purpose of this study was to evaluate barriers and facilitators to glycemic control and diabetes shared medical appointment (SMA) engagement in underserved patients with type 2 diabetes.
Methods: Semi-structured focus groups were conducted in 50 patients using an interview script guided by a social determinants of health (SDOH) conceptual framework.
Results: Patients positively perceived the social support and access to care benefits of the SMA. While barriers related to self-care behaviors (particularly diet), financial issues, and unreliable transportation were common, notable differences among the four groups existed. Controlled patients were motivated by fear of diabetic complications. Poorly-controlled patients discussed comorbidities and negative influence of family as barriers to glycemic control. Diabetes distress and fatalism were endorsed by poorlycontrolled, non-engaged patients.
Conclusions: Overcoming SDOH including transportation barriers, food insecurity, and diabetes distress and fatalism are promising areas of intervention for SMA models to improve care for underserved populations.
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Source |
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| http://dx.doi.org/10.1353/hpu.2022.0008 | DOI Listing |
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