474-P: Durable Reductions in A1C and Diabetes Distress with a One-Day Hybrid DSMES Intervention

Abstract

The effectiveness of time efficient diabetes self-management education and support (DSMES) interventions that include both group and individual sessions is lacking. This study tested the impact of the Diabetes One-Day Education and Care (D1D) Program on A1C and diabetes distress.D1D is an 8-hour DSMES hybrid (group and individual sessions) program delivered by an interdisciplinary team. Group sessions focused on the AADE7 self-care behaviors and included an interactive lunch with chef demonstration. Three 30-minute individual session were with a nurse practitioner/endocrinologist, pharmacist, dietitian, nurse, and/or exercise specialist. A1C and diabetes distress were collected at baseline, 3- and 6-months.Participants (N=213) were 59% female, 85% White, with an average age of 56.4±16 years and average diabetes duration of 11.7±11.3 years. Most participants had type 2 diabetes (80%). Compared to baseline (8.2% ±2.1), A1C levels were significantly lower at 3-months (7.6±1.6%, p<.001) and 6-months (7.6±1.5%, p=.001). Compared to baseline (60.8 ±20.3), diabetes distress levels were significantly lower at 3-months (-11.3, p<001) and 6-months (-10.30, p<001).D1D is a one-day hybrid DSMES program that demonstrated durable reductions in A1C and diabetes distress.View largeDownload slideView largeDownload slide DisclosureM. L. Litchman: Research Support; Self; Abbott Diabetes. S. Fisher: None. X. Wang: None. R. K. Delaney: None. J. Neuberger: None. A. Reeder: None. S. R. Jones: None. J. S. Simonetti: Consultant; Self; Rhythm Pharmaceuticals, Research Support; Self; Rhythm Pharmaceuticals . M. Wahl: None. A. Fagerlin: None.FundingLarry H. & Gail Miller Family Foundation