Accepted for/Published in: JMIR Formative Research
Date Submitted: Dec 19, 2022
Date Accepted: Mar 14, 2023
A Team-based Training for Continuous Glucose Monitoring for Diabetes Care: An Implementation Pilot in Primary Care Practices
ABSTRACT
Background:
The American Academy of Family Physicians (AAFP) develops and maintains continuing medical education (CME) relevant to modern primary care practice. One CME modality is AAFP TIPSTM, comprised of resources designed for family medicine physicians and their care teams that aid in quick and accessible practice improvement strategies with actionable steps. Evaluating physicians’ use of and satisfaction with this modality’s content and strategies for implementation has not been prioritized previously. Continuous glucose monitoring (CGM) plays an increasing role in the treatment of diabetes; more rapid uptake occurs in endocrinology settings compared to primary care settings. To help address these differences in CGM uptake and diabetes care, AAFP TIPS CGM was developed using published evidence and input from content experts (family medicine faculty, AAFP staff, and an Advisory Group comprised of other primary care physicians, patients, and a primary care practice facilitator). A pilot implementation project was conducted in three primary care practices.
Objective:
To evaluate AAFP TIPS CGM in primary care practices, the research team assessed use of and satisfaction with the content and assessed barriers to and facilitators for strategy and workflow implementation.
Methods:
Three primary care practices participated in a mixed-methods pilot implementation of AAFP TIPS CGM between June and October 2021. Practice champions at each site completed AAFP TIPS CGM. Champions conducted a team training (via webinar or in-person) with goals of implementing CGM into practice and establishing or improving CGM workflows. Two months after team training, key informant interviews were conducted with six physicians and four patients.
Results:
Physicians and/or interdisciplinary care team members who took AAFP TIPS CGM online or attended a team training expressed a high degree of satisfaction with the education, content, and applicability of the course.
Conclusions:
The implementation pilot of AAFP TIPS CGM offers pertinent and timely information for primary care practices that desire to initiate or expand CGM use in their workflows to best meet the needs of their patients with diabetes. Clinical Trial: N/A
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