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Diabetes MESSAGES: A Learning Collaborative to Support Community Health Centers in Implementing and Sustaining Group
Erin M Staab1, Amanda Campbell, Cynthia T Schaefer
1Author Affiliations: Department of Medicine, University of Chicago, Chicago, Illinois (Ms Staab, Dr Quinn, Dr Li, Ms Zhu, Dr Wan, Dr Baig); and Midwest Clinicians' Network, East Lansing, Michigan (Ms Campbell, Dr Schaefer).
The Journal of Ambulatory Care Management
|August 22, 2025
Summary
Community health centers successfully implemented diabetes group visits (GVs) with training and support. Sustainability depended on team factors and adaptation, with some centers continuing GVs post-study.
Area of Science:
- Public Health
- Health Services Research
- Diabetes Management
Background:
- Community Health Centers (CHCs) play a vital role in managing chronic diseases.
- Implementing innovative care models like group visits (GVs) can improve patient outcomes.
- The Diabetes MESSAGES study aimed to facilitate GV implementation in CHCs.
Purpose of the Study:
- To describe the training and technical assistance provided for diabetes group visits (GVs).
- To evaluate the implementation, adoption, and sustainability of GVs in CHCs.
- To identify factors influencing the long-term success of GV programs.
Main Methods:
- A mixed-methods, multi-site case study approach was employed.
- Training included in-person sessions and web-based support.
- Data collection involved surveys, reports, and analysis of implementation metrics (adoption, fidelity, etc.).
Main Results:
- All 7 CHC teams successfully implemented GVs for 6 months.
- Four CHCs continued GVs after the study period.
- Adaptation of the GV model to local contexts was observed, maintaining core components.
Conclusions:
- CHC teams effectively implemented diabetes GVs, adapting the model to their needs.
- Team cohesiveness, stability, and successful operationalization were key to sustainability.
- The Diabetes MESSAGES learning collaborative provided valuable support for GV program establishment and maintenance.
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