1. The Coached Care for Diabetes Project A community research collaboration John Billimek, PhD University of California, Irvine

3. Doctor-Patient Communication Visits are short Diabetes is complicated Barriers are common

4. The power of collaboration Low collaboration Mid collaboration High collaboration

5. Goals of the Study 1.Identify barriers to diabetes management 2. Improve patients’ participation in care Improve Diabetes Outcomes

6. Meet our Coaches

7. Coaches are… Patients with diabetes From the communities they serve Trained to help other patients get the most from their doctor visits

8. Coaches in action Meet with patients before doctor visit to: –Identify key problems and barriers –Form questions –Coach patient on how to discuss options with the doctor

12. Measures of success Laboratory data Patient Questionnaires Medical record review Audio Recording of medical visits Provider surveys Neighborhood characteristics

13. Diabetes is a community problem…. …and requires a community approach

14. UCI Medical Center UCI Family Health Center – Anaheim UCI Family Health Center – Santa Ana UCI Gottschalk Medical Plaza

15. Signs of progress

16. Collaboration works!