Visual Abstract

The effectiveness of time efficient diabetes self-management education and support (DSMES) interventions that include both group and individual sessions is lacking. This study tested the impact of the Diabetes One-Day Education and Care (D1D) Program on A1C and diabetes distress.

D1D is an 8-hour DSMES hybrid (group and individual sessions) program delivered by an interdisciplinary team. Group sessions focused on the AADE7 self-care behaviors and included an interactive lunch with chef demonstration. Three 30-minute individual session were with a nurse practitioner/endocrinologist, pharmacist, dietitian, nurse, and/or exercise specialist. A1C and diabetes distress were collected at baseline, 3- and 6-months.

Participants (N=213) were 59% female, 85% White, with an average age of 56.4±16 years and average diabetes duration of 11.7±11.3 years. Most participants had type 2 diabetes (80%). Compared to baseline (8.2% ±2.1), A1C levels were significantly lower at 3-months (7.6±1.6%, p<.001) and 6-months (7.6±1.5%, p=.001). Compared to baseline (60.8 ±20.3), diabetes distress levels were significantly lower at 3-months (-11.3, p<001) and 6-months (-10.30, p<001).

D1D is a one-day hybrid DSMES program that demonstrated durable reductions in A1C and diabetes distress.

graphic
View largeDownload slide
Disclosure

M. L. Litchman: Research Support; Self; Abbott Diabetes. S. Fisher: None. X. Wang: None. R. K. Delaney: None. J. Neuberger: None. A. Reeder: None. S. R. Jones: None. J. S. Simonetti: Consultant; Self; Rhythm Pharmaceuticals, Research Support; Self; Rhythm Pharmaceuticals . M. Wahl: None. A. Fagerlin: None.

Funding

Larry H. & Gail Miller Family Foundation

© 2021 by the American Diabetes Association
2021
Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license.