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Telehealth diabetes services for non-English speaking patients.

Authors :
Hart, Sara
Campbell, Candice
Divine, Holly
Dicks, Melanie
Kebodeaux, Clark
Schadler, Aric
McIntosh, Tera
Source :
Journal of the American Pharmacists Association: JAPhA; Jul2022, Vol. 62 Issue 4, p1394-1399, 6p
Publication Year :
2022

Abstract

<bold>Background: </bold>Several studies have shown the use of telehealth in diabetes management to be as efficacious as traditional clinic visits; however, these studies focused on English-speaking populations.<bold>Objectives: </bold>The primary objective of this study was to evaluate whether telehealth is an effective approach for participation in pharmacist collaborative diabetes management services among non-English-speaking or limited English proficiency (LEP) patients at a federally qualified health center (FQHC). The secondary objective was to evaluate glycated hemoglobin (A1c) as a clinical outcome in patients participating in telehealth versus in-person visits.<bold>Methods: </bold>This study was a retrospective chart review. Patients were non-English-speaking or LEP adults (≥ 18 years of age) with a diagnosis of type-2 diabetes (T2D) referred for pharmacist collaborative diabetes management services by a medical provider. This study reviewed patient participation and A1c values over 6 months (May to October) of 2 consecutive years (2019 and 2020).<bold>Results: </bold>In this study, 40 patients in 2019 and 50 patients in 2020 met the inclusion criteria. In 2019, the primary visit model was in-person and 123 total visits were scheduled with a pharmacist. In 2020, the primary visit model was telehealth and 143 total visits were scheduled. In 2019, there were 28 no-show visits, which accounted for 22.8% of total visits. In 2020, there were 27 no-show visits, which accounted for 18.9% of total visits. The mean change in A1c from baseline to follow-up was found to decrease by 1.0% in 2019 and 0.95% in 2020.<bold>Conclusions: </bold>We concluded that telehealth participation in pharmacist-provided collaborative T2D services and decrease in A1c were similar during telehealth compared with in-person visits among non-English-speaking and LEP patients at a FQHC. However, further studies with larger sample sizes are necessary to determine the overall impact of telehealth in non-English-speaking or LEP patients. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
15443191
Volume :
62
Issue :
4
Database :
Supplemental Index
Journal :
Journal of the American Pharmacists Association: JAPhA
Publication Type :
Academic Journal
Accession number :
157819579
Full Text :
https://doi.org/10.1016/j.japh.2022.03.009