TY - JOUR
T1 - Real-world insights from launching remote peer-To-peer mentoring in a safety net healthcare delivery setting
AU - Lyles, Courtney R.
AU - Sarkar, Urmimala
AU - Patel, Urvashi
AU - Lisker, Sarah
AU - Stark, Allison
AU - Guzman, Vanessa
AU - Patel, Ashwin
N1 - Publisher Copyright:
© 2020 The Author(s) 2020. Published by Oxford University Press on behalf of the American Medical Informatics Association.
PY - 2021/2/1
Y1 - 2021/2/1
N2 - 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.
AB - 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.
KW - Diabetes
KW - Digital health platforms
KW - Implementation science
KW - Peer coaching
KW - Safety net healthcare systems
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U2 - 10.1093/jamia/ocaa251
DO - 10.1093/jamia/ocaa251
M3 - Article
C2 - 33180917
AN - SCOPUS:85102153328
SN - 1067-5027
VL - 28
SP - 365
EP - 370
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 2
ER -