709-P: A Multistakeholder, Longitudinal Perspective on the Perceived Impact of a Diabetes Intervention for South Asians in New York

Abstract

Multi-stakeholder community-clinical linkage models hold the potential to address the significant diabetes burden faced by South Asians in the US. This study longitudinally evaluates stakeholders’ perspectives on the implementation of a diabetes management and prevention intervention among South Asians in NYC. Participating intervention stakeholders were interviewed annually (2019-2022) on their experience of the intervention's implementation (79 interviews). Stakeholders included 5 research personnel, 8 CHWs, 8 CBO partners, and 18 primary care providers/staff. Qualitative coding was informed by the Consolidated Framework for Implementation Research (CFIR); our analysis focuses on the types of perceived benefits for participants/stakeholders. Along with observing changes related to interventional targets (weight/A1C reduction), CHWs expressed that the intervention structure helped facilitate referrals to social services (e.g., health insurance, financial assistance) and address secondary health concerns (e.g., mental health). Participant occupation, family structure, and technological capacity were reported as mediators in the intervention's perceived impact. Providers/staff (particularly from smaller, less-resourced clinics) emphasized improvements in patients’ health literacy and self-efficacy as important gaps addressed by the intervention. CBO partners highlighted that intervention participation helped develop strong collaborations with academic partners (which helped them secure additional resources) and other CBOs. Research personnel reported that stakeholder perceptions of the intervention's importance increased as greater participant health impact was observed. Findings suggest that community-clinical linkage models can provide multi-faceted benefits to both participants and stakeholders by holistically supporting participant health needs and facilitating strong partnerships. Disclosure S.H.Ali: None. N.Islam: None. D.Onakomaiya: None. F.M.Mohsin: None. S.Mohaimin: None. N.I.Saif: None. F.Rahman: None. J.Zanowiak: None. S.Mammen: None. S.Lim: None. Funding National Institute on Minority Health and Health Disparities (U54MD000538, R01DK11004801A1)