Mary Lacy
A multicomponent implementation strategy bundle designed to improve Diabetes Self-Management Education and Support (DSMES) referral and utilization in rural primary care clinics. The initial bundle includes: (1) establishing electronic health record (EHR) referral systems, (2) creating patient face sheets for providers, (3) discussing DSMES referrals during clinician and staff implementation team meetings, and (4) developing DSMES-specific marketing materials and promotional activities.
This is a hybrid type 3 effectiveness-implementation trial involving primary care clinics among four healthcare systems in Kentucky. Cluster randomization of clinics (and the patients therein) will be stratified by healthcare system such that 2 clinics will be randomized to the intervention arm, and 2 clinics will be assigned to the control arm; across 4 health care systems, this will result in 8 clinics per study arm for a total of 16 clinics. Clinics randomized to intervention will implement an optimized multicomponent implementation strategy (MCIS) bundle (8 clinics) or standard of care (8…
Inclusion Criteria: * Members of implementation teams at participating rural primary care clinics, including physicians, nurses, hospital administrators, IT staff, and practice managers. Exclusion Criteria: * n/a
A multicomponent implementation strategy designed to improve DSMES referral and utilization in rural primary care clinics. Strategies include establishing EHR referral systems, creating patient face sheets for providers, discussing DSMES referrals during clinician and staff implementation team meetings, and developing DSMES-specific marketing materials and promotional activities.
Clinics randomized to standard-of-care group will continue their usual clinical practices without implementation of the multicomponent implementation strategy (MCIS) bundle.
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