Abstract
INTRODUCTION: A pilot study of a multilevel, 6-month intervention (MAP) designed to increase patient portal use among patients with type 2 diabetes at community health centers (CHCs) showed promising results. The aim of this implementation analysis is to (1) describe the nurse-patient interactions and documentation of care during MAP, (2) report MAP implementation successes and challenges, and (3) describe participants' use of other online health resources.
METHODS: Data were collected from MAP nurses (n = 3) and participants (n = 22).
RESULTS: The content of portal messages between nurses and participants was educational and supportive. Numerous health-related social needs that influence participant diabetes self-management were identified, many of which were handled with relevant referrals. Participant-reported challenges changed over time, with technical barriers decreasing and competing demands increasing. Participants increased their use of online resources for health improvement.
DISCUSSION: Addressing implementation challenges may allow the expansion of programs like MAP in CHCs and ultimately improve diabetes outcomes.
CLINICAL TRIAL REGISTRATION: clinicaltrials.gov, identifier NCT05180721.
| Original language | English |
|---|---|
| Pages (from-to) | 1689830 |
| Journal | Frontiers in Clinical Diabetes and Healthcare |
| Volume | 6 |
| DOIs | |
| State | Published - 2025 |
Bibliographical note
Copyright © 2026 Wagner, Akyirem, Lipson, Chen and Whittemore.UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
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