Office-GAP IMPACT Program
Office-GAP is a Patient Activation Intervention Program that includes: 1) Group visit 2) Physician training for patient activation 3) Text-based diabetes self-management program, and 4) Decision support checklist used in real time in the office. Patients will be randomly assigned to one of two groups. Patients in Groups 1 or 2 will attend: 1) a scheduled group visit, (90-120 min; 4-6 patients) conducted by the PI/RAs 2) follow-up visits with their primary care providers in 1 month, 3, 6, 9 and 12 months after the group visit. The group visit is a shared decision-making (SDM) activation session wherein patients learn self-management behaviors, medication use, communication skills, and use of decision support tools. The Office-GAP Checklist is a one-page checklist that outlines all evidence-based medications for prevention of cardiovascular disease (CVD) in DM patients. It is an in-consultation decision support tool that helps engage the patient and physician in initiating and enhancing a SDM process via discussion of medication and secondary prevention/lifestyle changes.