The evaluation of the Diabetes Initiative, a 30-month, multi-site initiative to improve diabetes self-management and to determine whether self-management principles could be implemented effectively in real-world settings, found that:
- Effective self-management programs can be implemented in real-world clinical and community settings.
- Such programs can increase patient-reported resources and supports for self management (RSSM), help patients improve self-management behaviors and enhance or maintain metabolic control.
- HbA1c levels decreased from baseline to 12 months by 0.56 point.
- Patients reporting high levels of RSSM were more likely achieve HbA1c decreases or maintain baseline controlled levels.
The report describes various program and program elements, continuous quality improvement strategy, purpose and design of the evaluation, methodology, findings, limitations, tools, and lessons learned.