Purpose The purpose of the study was to evaluate the effectiveness of ALDEA (Latinos con Diabetes en Acción), a Shared Medical Appointment (SMA) intervention, compared to usual primary care (UPC) for the treatment of adults with type 2 diabetes over a 6-month period. It was hypothesized that participants in the SMA will have greater reductions in A1C at 6 months post-intervention compared to the control group. Methods This study was a quasi-experimental design with a non-randomized matched control group that followed participants prospectively for 6 months. All adults living with type-2 diabetes receiving primary care at a 2 FQHC clinics were eligible for inclusion. Participants in the control group were matched retrospectively on baseline A1C and age. Results The reductions in A1C were greater in the ALDEA SMA intervention group relative to the UPC control group at 6 months in both of the FQHC centers and in the combined sample. Conclusions This study demonstrated that patients in the ALDEA program had a significantly greater reduction in A1C at 6 months compared to the control group. Despite its limitations, the ALDEA SMA program was successful in empowering patients and improving glycemic control.

中文翻译：

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共享医疗预约：学术社区合作改善加州中央谷地区 2 型糖尿病成人的护理

目的 本研究的目的是评估共享医疗预约 (SMA) 干预措施 ALDEA (Latinos con Diabetes en Acción) 与常规初级保健 (UPC) 相比治疗 6 岁以上成人 2 型糖尿病的有效性。 -月期间。假设与对照组相比，SMA 参与者在干预后 6 个月的 A1C 降低幅度更大。方法 本研究是一项准实验设计，有一个非随机匹配的对照组，前瞻性地跟踪参与者 6 个月。所有在 2 个 FQHC 诊所接受初级保健的 2 型糖尿病患者都有资格纳入。对照组的参与者在基线 A1C 和年龄方面进行了回顾性匹配。结果 在 6 个月时，在两个 FQHC 中心和合并样本中，ALDEA SMA 干预组的 A1C 降低比 UPC 对照组更大。结论 本研究表明，与对照组相比，ALDEA 计划中的患者在 6 个月时 A1C 的降低幅度更大。尽管存在局限性，ALDEA SMA 计划在增强患者能力和改善血糖控制方面取得了成功。