Intervention
diabetes
DIABETES
A detailed description of the intervention implementation can be found in the published version of the trial protocol.Pharmacist encounters occurred remotely via telehealth (eFigure in African American and Latinx health coaches were hired and completed extensive study-specific training. Health coaches introduced themselves to participants receiving the intervention, contacted them at least monthly, and conducted home visits (targeting every other month) and phone calls, including facilitation of telehealth with pharmacists on alternating visits. The health coaches addressed medication use (eg, reviewing pill bottle labels), assisted pharmacists in medication reconciliation, compiled home glucose monitoring data, and reinforced pharmacists’ recommendations. Health coaches alerted pharmacists to extremely high or low home glucose levels, patient questions, and discrepancies discovered in management. In addition, health coaches provided diabetes self-management education, support with information sharing, psychosocial and goal-based behavioral support, and coordination of care. During home visits, health coaches monitored glucose and blood pressure levels, which were shared with pharmacists. When appropriate, health coaches also used the Health coaches used text messaging on study telephones to engage patients between visits. Coaches used a custom software application (mytapp; developed by B.G.) to schedule future text messages, including appointment and medication reminders and messages to motivate patients toward self-management goals.