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. 2021 Feb 15;28(2):365-370.
doi: 10.1093/jamia/ocaa251.

Real-world insights from launching remote peer-to-peer mentoring in a safety net healthcare delivery setting

Courtney R Lyles  1   2   3 , Urmimala Sarkar  1   3 , Urvashi Patel  4   5 , Sarah Lisker  1   3 , Allison Stark  4   5   6 , Vanessa Guzman  5 , Ashwin Patel  7
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Real-world insights from launching remote peer-to-peer mentoring in a safety net healthcare delivery setting

Courtney R Lyles et al. J Am Med Inform Assoc. .

Abstract

Peer mentors have been proven to improve diabetes outcomes, especially among diverse patients. Delivering peer mentoring via remote strategies (phone, text, mobile applications) is critical, especially in light of the recent pandemic. We conducted a real-world evaluation of a remote diabetes intervention in a safety-net delivery system in New York. We summarized the uptake, content, and pre-post clinical effectiveness for English- and Spanish-speaking participants. Of patients who could be reached, 71% (n = 690/974) were enrolled, and 90% of those (n = 618/690) participated in coaching. Patients and mentors had a mean of 32 check-ins, and each patient set an average of 10 goals. 29% of the participants accessed the program via the smartphone application. Among participants with complete hemoglobin A1c data (n = 179), there was an absolute 1.71% reduction (P < .01). There are multiple lessons for successful implementation of remote peer coaching into settings serving diverse patients, including meaningful patient-mentor matching and addressing social determinants.

Keywords: diabetes; digital health platforms; implementation science; peer coaching; safety net healthcare systems.

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Figure 1.
Figure 1.
Real-time enrollment into InquisitHealth peer coaching program.
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