Health professionals cite a number of barriers to precepting nurse practitioner (NP) students, including lack of time and training. The primary aim of this study was to evaluate training of health professionals who teach NP students in a clinical teaching model, the One-Minute Preceptor (OMP). The OMP is a clinical teaching tool that has the potential to increase feedback to NP learners, improving their perceived clinical experience and learning opportunities. The secondary aim was to evaluate the impact of this training on perceived barriers to clinical teaching. The training included a 2-hour workshop on clinical teaching models within a community setting, with an emphasis on the OMP. The intervention was offered twice and included 57 participants from 4 different health professions. Data were collected before and after the intervention using an online survey. There were no differences between professions in outcomes, including barriers to teaching; however, an increase was found in providing positive and corrective feedback as well as overall teaching activities.

Purpose The purpose of the study was to evaluate the effectiveness of ALDEA (Latinos con Diabetes en Acción), a Shared Medical Appointment (SMA) intervention, compared to usual primary care (UPC) for the treatment of adults with type 2 diabetes over a 6-month period. It was hypothesized that participants in the SMA will have greater reductions in A1C at 6 months post-intervention compared to the control group. Methods This study was a quasi-experimental design with a non-randomized matched control group that followed participants prospectively for 6 months. All adults living with type-2 diabetes receiving primary care at a 2 FQHC clinics were eligible for inclusion. Participants in the control group were matched retrospectively on baseline A1C and age. Results The reductions in A1C were greater in the ALDEA SMA intervention group relative to the UPC control group at 6 months in both of the FQHC centers and in the combined sample. Conclusions This study demonstrated that patients in the ALDEA program had a significantly greater reduction in A1C at 6 months compared to the control group. Despite its limitations, the ALDEA SMA program was successful in empowering patients and improving glycemic control.

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Diabetes has reached epidemic proportions in the United States. Shared medical appointments are an increasingly popular model to provide access to DSMES and primary care services. The purpose of the study was to evaluate the effectiveness of a Shared Medical Appointment (SMA) intervention, compared to usual primary care (UPC), for the treatment of adults with type 2 diabetes over a 6-month period in two rural Federally Qualified Health Centers (FQHC) in the central valley of California. This study was a quasi-experimental design with a non-randomized matched control group that followed participants prospectively for 6 months. All adults living with type 2 diabetes receiving primary care at 2 FQHC clinics were eligible for inclusion. Participants in the control group were matched retrospectively on baseline A1C and age. To test the effect of group membership on A1C change, differences in change scores were compared between the ALDEA SMA intervention group and the UPC control group. Linear regression analysis was computed to assess if mean A1C change at 6 months post-intervention was greater among SMA intervention group participants compared to the UPC control group participants. The reductions in A1C were greater in the intervention group relative to the control group at 6 months. Results of the linear regression analysis revealed a net reduction A1C difference of -1.12% from baseline to 6 months (p≤0.05) in FQHC #1, and -1.06% from baseline to 6 months (p≤0.05) in FQHC #2. This study demonstrated that patients in the ALDEA program were able to achieve a significant reduction in A1C compared to those who received UPC. Despite its limitations, the ALDEA SMA program was successful in empowering patients and improving glycemic control. Disclosure C.E. Noya: None. E. Gatewood: None. A. Alkon: None. E. Castillo: None. A.C. Kuo: None. Funding Health Resources and Services Administration