Medical Assistant Health Coaching for Type 2 Diabetes in Primary Care: Results From a Pragmatic Cluster Randomized Controlled Trial
Primary result · HbA1c reductionResult — go to the resultUnstandardized Binteraction −0.06Authors' conclusion
This was the first large-scale pragmatic RCT supporting the real-world effectiveness of MAC for type 2 diabetes in U.S. primary care settings. Findings suggest that this team-based approach may be particularly effective in improving diabetes outcomes in FQHC settings.
Study context
- Population
- At-risk adults with T2D (HbA1c ≥8% and/or LDL-C ≥100 mg/dL and/or systolic blood pressure (SBP) ≥140 mmHg in last 90 days) in an federally qualified health center (FQHC) (Neighborhood Healthcare) and a nonprofit private insurance-based health system (Scripps Health)subsample n = 300
- Participants
- 600 adults
- Comparison
- Medical assistant health coaching vs usual care
Methodological detailspragmatic, cluster (clinic-level) randomised
- Pragmatic
- Cluster (clinic-level) randomised
Primary result
HbA1c reduction · 1 year
Unstandardized Binteraction
−0.06
P = 0.002
As reported in the abstract
- All clinical outcomes improved significantly over 1 year in the overall sample
- P < 0.001
Further findings
LDL-C: time by group by site interaction
- MAC gave greater LDL-C improvement than usual care (UC) at Neighborhood Healthcare relative to Scripps Health (Binteraction)
- −1.78 vs. 1.49; P < 0.05
Other outcomes
- No other statistically significant effects were observed
Original publication
Medical Assistant Health Coaching for Type 2 Diabetes in Primary Care: Results From a Pragmatic Cluster Randomized Controlled Trial. Diabetes Care. Published 16 May 2024. doi:10.
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