Extension for Community Health Outcomes (ECHO) Diabetes Program

Completed · Not applicable

Conditions studied: Type 1 Diabetes, Type 2 Diabetes

In brief

The Project ECHO model is currently used in 180 countries to address chronic disease care through a provider empowerment, tele-education approach using a "hub" and "spoke" learning model. Few studies have rigorously evaluated the impact of the program on patient outcomes using randomized designs. This study evaluated implementation of an ECHO Diabetes program on patient-level, provider-level, and center-level outcomes in underserved populations receiving diabetes care from primary care providers. Participants: Twenty Federally Qualified Health Centers (FQHCs) and FQHC "look alikes" across CA and FL were recruited to participate as spokes in the ECHO Diabetes trial. A stepped-wedge trial design was used with randomized, phased-in intervention entry for participating health centers (or "spokes"). Interventions: Spokes were provided access to 6-months of tele-education sessions with continuing medical education credits, access to real-time support for complex medical decision making with hub subspecialty teams, and access to a diabetes support coach. Main outcomes and Measures: Participating FQHCs ("spokes") provided aggregate data including Healthcare Effectiveness Data and Information Set (HEDIS) reporting on the % of patients with HbA1c \>9%.

Key facts

Study ID

NCT06552923

Run by

University of Florida

People needed

32796

Starts

2021-06-01

Expected to finish

2023-12-31

Last updated by the study team

2024-08-14

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Age 18 and older
• Seen for routine care at participating FQHC
• Diagnosis of Type 1 Diabetes or Type 2 Diabetes

You may not qualify if…

• Not meeting all inclusion criteria

Where it is running

• CommuniCare Davis Family Health Center — Davis, California, United States
• St Agnes Medical Center — Fresno, California, United States
• La Clinica — Multiple Locations, California, United States
• Santa Rosa Community Health Centers — Multiple Locations, California, United States
• Shasta Community Health Centers — Multiple Locations, California, United States
• Health Service Alliance — Rancho Cucamonga, California, United States
• Hill Country Community Clinic — Redding, California, United States
• CommuniCare Salud Family Health — West Sacramento, California, United States
• CommuniCare Hansen Family Center — Woodland, California, United States
• Premier Community Health — Dade City, Florida, United States
• Community Health of South Florida (CHI) — Homestead, Florida, United States
• Banyan Health Systems — Miami, Florida, United States
• Borinquen Medical Center — Miami, Florida, United States
• Orange Blossom Family Health — Orlando, Florida, United States
• Evara Health System — Pinellas Park, Florida, United States
• Tampa Family Health Center — Tampa, Florida, United States
• Treasure Coast Community Health — Vero Beach, Florida, United States

Full record on ClinicalTrials.gov

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