Linking internet-based diabetes self-management to primary care: Lessons learned and implications for research translation and practice implementation
Background: There has been little discussion of or research on the key translational issue of how to integrate patient self-management programs with primary care.
Purpose: To summarize our experiences and lessons learned in trying to integrate information from a web-based diabetes self-management program into primary care.
Methods: We describe plans, implementation, adaptations made, and data on patient and physician reactions to the My Path diabetes self-management program provided to 331 adult primary care patients in a large HMO.
Results: Mixed method results revealed that, despite the availability of a state-of-the-art electronic health record system, the intervention was not well integrated into primary care.
Conclusions: Information from health-promotion and disease-management programs, even within the same organization, is challenging to integrate into busy primary care.