Implementing virtual diabetes self-management education in two health systems (VIDA): a mixed-methods pilot study

Area of Science:

• Implementation Science
• Digital Health
• Chronic Disease Management

Background:

• Group-based diabetes self-management education (DSME) improves health outcomes.
• Adapting DSME to virtual settings in diverse healthcare systems presents challenges.
• Understanding virtual DSME feasibility and benefits is crucial for widespread adoption.

Purpose of the Study:

• To evaluate the feasibility, benefits, and challenges of implementing virtual group DSME.
• To assess adaptability across different healthcare systems (federally qualified health center and private health system).
• To explore patient, provider, and staff experiences with virtual DSME.

Main Methods:

• Mixed-methods pilot study utilizing the RE-AIM implementation framework.
• Adults with Type 2 diabetes and elevated A1c/cardiovascular comorbidity participated in monthly online group sessions.
• Quantitative data (recruitment, attendance, engagement) and qualitative data (interviews) were collected.

Main Results:

• 10 out of 11 enrolled participants completed at least one session; high satisfaction reported.
• Participants valued peer support, accountability, convenience, and improved disease knowledge.
• Technology access was rarely a barrier; challenges included scheduling conflicts and mistrust.

Conclusions:

• Virtual group DSME is feasible, well-received, and adaptable across diverse healthcare settings.
• Technology-enabled group models can effectively deliver chronic disease education and empower self-management.
• Findings support the integration of virtual DSME for diverse urban populations.