An internet-based diabetes management platform improves team care and outcomes in an urban Latino population. (2015) Diabetes Care.

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This paper highlights a “diabetes dashboard” software application developed by Dr. Welch and his clinical team. The dashboard focused on care provided by the diabetes team and the systematic assessment and management of common upstream behavior and psychosocial issues such as diabetes distress and depression. It also evaluated other patient engagement and treatment adherence issues. The results showed that use of this patient assessment toolset and methodology within a comprehensive care-team model significantly improved HbA1c levels and patient quality of life. The study was performed in a large, attention-controlled, randomized control trial (RCT), carried out in busy community health centers. This paper was the pilot study that preceded a NIH-funded RCT and this paper is an earlier NIH-funded RCT in which Dr. Welch and his team developed and evaluated the clinical value of a highly scalable, cost-effective, web-based assessment approach that became the basis for later work, including the “diabetes dashboard” studied here. This study provided critical data inputs for the design of the Behavior Diagnostic Platform. (Full paper available online.)