Improving Recruitment and Retention for Diabetes Self-Management Education and Support

Number of Referrals from Study Stakeholders,Number of Participants Enrolled in DSMES Study,Number of DSMES Sessions Attended by Participants,Number of DSMES Participants with at Least 80% Session Retention,Change in HbA1C of Participants

This randomized clinical trial aims to examine the effectiveness of utilizing CHWs (community
 health workers) and supplemental diabetes education technology to improve DSMES (diabetes
 self-management education and support) participation, retention, engagement, and clinical
 outcomes in adults in Jefferson County, AL living with diabetes. The main questions this
 study aims to answer are as follows:
 
 1) Is the utilization of a multi-directional recruitment model via partnerships with
 community health workers and local primary care providers versus traditional recruitment
 methods (including using flyers, word of mouth, and media ads) effective in increasing
 recruitment and retention of people living with diabetes into a pharmacist-led DSMES program?
 2) Is the utilization of the HICO Health Mobile application and provider dashboard as a
 supplementary tool alongside a standard DSMES curriculum effective at improving patient
 participation, retention, engagement, and clinical outcomes in a pharmacist-led DSMES program
 versus standard DSMES alone in Jefferson County, AL? After eligibility screenings and
 enrollment, participants will be randomized into two groups: one group will receive standard
 DSMES programming based on the 7 Self Care Behaviors and one group will receive standard
 DSMES programming and access to HICO Health, a diabetes-related mobile health application.
 The study team plans to evaluate whether a CHW- recruitment strategy will lead to an increase
 in referral and enrollment and whether incorporating the HICO Health application will lead to
 better retention, engagement, and clinical outcomes in terms of HbA1C levels.
 
 This novel project will utilize continued stakeholder engagement, community health workers,
 and diabetes-related technology which we hope will increase the uptake and retention of
 participants in DSMES in Jefferson County, AL.