The Promising Success of Project Extension for Community Healthcare Outcomes (ECHO) Diabetes: Case Series (Preprint)

• DOI: 10.2196/preprints.46050
• Publication Date: 2023-02-03T16:53:57Z
• Authors: Lauren Figg; Ananta Addala; Ishaan Jain; Claudia Anez; Paul Midney; Corin DeChirico; Colleen Symanski; Brian C Fitzgerald; Kristi Colbert; Terry Raymer; Candy Stockton-Jo...; Elizabeth Murphy; Leah Collins; Cyd Bernstein; Melanie Hechavarria; Eleni P Sheehan; Angelina Bernier; Sarah C Westen; Korey K Hood; Dessi P Zaharieva; Marina Basina; Nicolas Cuttriss; Stephanie L Filipp; Matthew J Gurka; Ashby F Walker; David M Maahs; Michael J Haller; Rayhan A Lal
• Keywords: Diabetes management

<sec> <title>BACKGROUND</title> In the United States, there are over 37 million people with diabetes but only 8000 endocrinologists. Therefore, many receive care exclusively from primary providers (PCPs). To democratize knowledge regarding insulin-requiring through tele-education, Stanford University and of Florida developed Project Extension for Community Healthcare Outcomes (ECHO) Diabetes. </sec> <title>OBJECTIVE</title> ECHO Diabetes uses a Hub Spoke model connecting specialists (the “Hub”) PCPs “Spokes”). One-hour, weekly sessions include didactic presentations deidentified case presentations. Lessons learned during these target provider confidence surrounding management patient care. <title>METHODS</title> Spokes were asked to provide short descriptions whose improved directly or indirectly their providers’ participation involvement Support Coach (DSC). We series describe individuals outcomes. Because this study was not randomized controlled trial prospective observation patients intervention delivered providers, is registered in public trials registry. <title>RESULTS</title> A 11 compiled 10 1 DSC California between 2021 2022. The principal impact education amplified DSCs diabetes. all cases, reported increased engagement management. Several cases reflected access technology, improvement glycemic outcomes, positive trends mental health measures. <title>CONCLUSIONS</title> This elucidates potential value program who PCPs. Those matched saw clinically significant improvements hemoglobin A&lt;sub&gt;1c&lt;/sub&gt; <title>CLINICALTRIAL</title> <p />