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

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English
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Details:

  • Journal Article:
    Preventing Chronic Disease (PCD)
  • Personal Author:
  • 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:
  • Source:
    Prev Chronic Dis. 12.
  • DOI:
  • ISSN:
    1545-1151
  • Pubmed ID:
    26542142
  • Pubmed Central ID:
    PMC4651113
  • Document Type:
    Journal Article
  • Volume:
    12
  • Collection(s):
  • Main Document Checksum:
  • Download URL:
  • File Type:

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