Real-world insights from launching remote peer-to-peer mentoring in a safety net healthcare delivery setting.
J Am Med Inform Assoc
; 28(2): 365-370, 2021 02 15.
Article
in English
| MEDLINE | ID: covidwho-923385
ABSTRACT
Peer mentors have been proven to improve diabetes outcomes, especially among diverse patients. Delivering peer mentoring via remote strategies (phone, text, mobile applications) is critical, especially in light of the recent pandemic. We conducted a real-world evaluation of a remote diabetes intervention in a safety-net delivery system in New York. We summarized the uptake, content, and pre-post clinical effectiveness for English- and Spanish-speaking participants. Of patients who could be reached, 71% (n = 690/974) were enrolled, and 90% of those (n = 618/690) participated in coaching. Patients and mentors had a mean of 32 check-ins, and each patient set an average of 10 goals. 29% of the participants accessed the program via the smartphone application. Among participants with complete hemoglobin A1c data (n = 179), there was an absolute 1.71% reduction (P < .01). There are multiple lessons for successful implementation of remote peer coaching into settings serving diverse patients, including meaningful patient-mentor matching and addressing social determinants.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Peer Group
/
Diabetes Mellitus
/
Safety-net Providers
/
Mentoring
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
North America
Language:
English
Journal:
J Am Med Inform Assoc
Journal subject:
Medical Informatics
Year:
2021
Document Type:
Article
Affiliation country:
Jamia
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