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.

 




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