A Pharmacy Student–Facilitated Interprofessional Diabetes Clinic With the Penobscot Nation

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Martin, Sarah Levin ; Williams, Evan ; Huerth, Benjamin ; Robinson, J. Daniel
• Corporate Authors:
  for the Penobscot Nation Health Center’s Diabetes Team
• Description:
  Background
  
  American Indians/Alaska Natives have a greater increased risk for diabetes than non-Hispanic whites. Lifestyle interventions are effective in preventing and treating diabetes, and an interprofessional approach is important in diabetes management.
  
  Community Context
  
  The Penobscot Nation has a health center with a wide range of services. Our goal with the Nation was to 1) establish an interprofessional, student-facilitated diabetes clinic in the health center; 2) assess the clinic’s preliminary impact.
  
  Methods
  
  Relationship building and problem solving was instrumental in working toward the first goal. A survey was developed to assess satisfaction with the clinic. The clinical outcomes, mean and median values of HbA1c, were calculated at baseline (spring 2013) and were used to establish 2 groups of patients: those with controlled levels (<7%) and those with uncontrolled levels (≥ 7%). HbA1c was reassessed in fall 2013. Changes in HbA1c were calculated and compared using the Wilcoxon signed-rank test.
  
  Outcomes
  
  The student-facilitated, interprofessional diabetes clinic has operated for 2 years, and changes are under way. More than 90% of participants reported being well satisfied with the clinic in the first year. Among the group with uncontrolled HbA1c (n = 18), mean HbA1c values declined from 9.3% to 7.6% (P = .004). Among the group with controlled HbA1c (n = 30), 83% were controlled at follow-up.
  
  Interpretation
  
  The Penobscot diabetes clinic is evolving to meet the needs of community members, and pharmacy students have an interprofessional practice site well suited for experiential learning.
  
  
• Subjects:
  Community Case Study
• Source:
  Prev Chronic Dis. 12.
• DOI:
  http://dx.doi.org/10.5888/pcd12.150295
• ISSN:
  1545-1151
• Pubmed ID:
  26542142
• Pubmed Central ID:
  PMC4651113
• Document Type:
  Journal Article
• Volume:
  12
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:f0f1b421c2df81ba33e1e710962a3b8efd85b0cd5e563e98b05ac53b82d96b51814de33944e9043151445a5355960fe50c2dc7b4d51c7c41e61751d3f5ca8d99
• Download URL:
  https://stacks.cdc.gov/view/cdc/36138/cdc_36138_DS1.pdf
• File Type:
  [PDF - 252.39 KB ]