title: Patient experience in a coordinated care model featuring diabetes self-management education integrated into the patient-centered medical home.
abstract: The purpose of this study is to gain insight about patient experience of diabetes self-management education in a patient-centered medical home.
  
  
  
  Six focus groups consisting of 37 people with diabetes, diverse in race and ethnicity, were conducted at 3 sites. Participants described their experience in the program and their challenges in diabetes self-management; they also suggested services to meet their diabetes care needs.
  
  
  
  The most common theme was ongoing concerns about care and support. There was much discussion about the value of the support provided by health navigators integrated in the diabetes health care team. Frequent concerns expressed by participants centered on personal challenges in engaging in healthy lifestyle behaviors. Ongoing programmatic support of self-management goals was widely valued.
  
  
  
  Individuals who received health care in a patient-centered medical home and could participate in diabetes self-management education with integrated support valued both activities. The qualitative results from this study suggest need for more formalized exploration of effective means to meet the ongoing support needs of people with diabetes.
authors.affiliation: From Science and Practice, American Association of Diabetes Educators, Chicago, Illinois (Ms Janiszewski, Dr O'Brian, Dr Lipman).
authors.forename: Debra
authors.initials: D
authors.lastname: Janiszewski
authors.affiliation: From Science and Practice, American Association of Diabetes Educators, Chicago, Illinois (Ms Janiszewski, Dr O'Brian, Dr Lipman).
authors.forename: Catherine A
authors.initials: CA
authors.lastname: O'Brian
authors.affiliation: From Science and Practice, American Association of Diabetes Educators, Chicago, Illinois (Ms Janiszewski, Dr O'Brian, Dr Lipman).
authors.forename: Ruth D
authors.initials: RD
authors.lastname: Lipman
mesh_terms: D000328:Adult; D002140:California; D019033:Delivery of Health Care, Integrated / Q000379:methods*; D003920:Diabetes Mellitus / Q000523:psychology* / Q000628:therapy; D019468:Disease Management; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006801:Humans; D008297:Male; D009820:Ohio; D010353:Patient Education as Topic / Q000379:methods*; D018802:Patient-Centered Care; D012648:Self Care / Q000379:methods / Q000523:psychology*; D013714:Tennessee