Scientific Poster Session III - Original Research

Original Research
  Monday, November 13, 2023
  01:00 PM–02:30 PM

Abstract

Introduction:

Diabetes Self-Management Education and Support (DSMES) programs provide evidence-based education to patients with diabetes and can improve HgbA1c and lower risks of diabetes-related complications. The HSC Health system piloted a pharmacist-led, interdisciplinary DSMES program in 2021, comprised of a pharmacist, nurse practitioner, dietician, physical therapists and social worker. The program now offers group classes quarterly and is accredited by the American Diabetes Association.

Research Question or Hypothesis:

What is the feasibility of implementing an interdisciplinary DSMES program for geriatric patients with type 2 diabetes?

Study Design:

Retrospective study reviewed by the HSC Institutional Review Board.

Methods:

Feasibility was defined by:

1. The proportion of participants who completed at least two of the four sessions (goal retention rate of 75%).
2. The proportion of enrolled participants that completed the two-month follow-up assessment (goal completion rate of 50%).
3. The number of successful Medicare-reimbursed Diabetes Self-Management Training (DSMT) codes (goal reimbursement rate of 50%).

Clinical outcomes are presented in aggregate via descriptive statistics. Satisfaction scores and comments were obtained at the end of each cohort.

Results:

Twenty participants successfully completed the pilot study across four cohorts. Eighty-five percent (17/20) of participants completed at least two of the four group sessions. Sixty percent (7/12) of eligible participants completed the individualized, 2-month follow-up assessment (6 participants have assessments scheduled at the end of June 2023). Average A1C reduction of 1% (0.2% to 5.2%) was achieved by participants. Medicare reimbursement rates were 76% and 85% for individual and group DSMT services, respectively. Average participant satisfaction score of 4.7/5 with positive comments noted.

Conclusion:

A consistent participation rate across cohorts supports the feasibility of implementing an interdisciplinary DSMES program within a geriatric population with type 2 diabetes. Medicare reimbursement for DSMT services was demonstrated for individual and group services.

Presenting Author

Adenike Atanda PharmD
University of North Texas System College of Pharmacy

Authors

Carling Butler DPT
University of North Texas Health Science Center

Myles Quiben PT, DPT, PhD
University of North Texas Health Science Center

Kate Taylor DNP
University of North Texas Health Science Center

Teresa Wagner DrPH
University of North Texas Health Science Center

Kristen Reuter LCSW
University of North Texas Health Science Center