Type 2 & other diabetes

Project Extension for Community Healthcare Outcomes (ECHO) Diabetes Trial Improves Outcomes for Medically Underserved People

Diabetes CarePublished Stepped-wedge cluster randomised trial

Authors' conclusion

The ECHO model demonstrates promise for reducing health disparities in diabetes and contributes to our understanding of program benefits beyond the provider level.

Study context

Population
Medically underserved people with T1D or T2D at 20 federally qualified health centers across California and Florida582 in patient-level cohort
Participants
32,796 participants
Comparison
ECHO Diabetes program, before vs after intervention
Methodological detailsrandomized, phased-in intervention entry, 20 federally qualified health centers (FQHCs)
  • Randomized, phased-in intervention entry
  • 20 FQHCs

Primary result

As reported in the abstract

Spoke level: proportion with HbA1c >9%

P = 0.033

Further findings

Patient level: CGM use · statistically significant increase

P < 0.0001

Patient level: pump use · statistically significant increase

P < 0.001

Original publication

Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People. Diabetes Care. Published 17 December 2024. doi:10.2337/dc24-2100

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