“Health Literacy Intervention to Improve Diabetes Outcomes Among Rural Primary Care Patients”
The researchers will conduct a patient-randomized, pragmatic clinical trial among 6 rural PCMHs in Arkansas, targeting individuals with uncontrolled type 2 diabetes. The primary aims are to: 1. test the effectiveness of the ACP diabetes health literacy intervention to improve a range of diabetes-related outcomes among rural patients; 2. compared to usual care, evaluate whether the intervention reduces disparities by patient literacy level. The secondary aims are to: 3. investigate whether a threshold or gradient effect exists between the amount of follow-up counseling (number of action plans) and intervention effectiveness; 4. determine the fidelity of all intervention components, and explore any identified patient, provider (physician, nurse, health coach), and/or health system barriers to implementation; and 5. assess the costs associated with implementing the intervention from a health system perspective.
ACP Living with Diabetes Guide
American Colleges of Physicians (ACP) Living Well with Diabetes Guide
ADA Living Well with Diabetes Workbook
American Diabetes Association (ADA) Living Well with Diabetes Workbook
Health Literacy Intervention to Improve Diabetes Outcomes Among Rural Primary Care Patients