Journal of general internal medicine
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Randomized Controlled Trial Multicenter Study
Clinic-based versus outsourced implementation of a diabetes health literacy intervention.
We compared two implementation approaches for a health literacy diabetes intervention designed for community health centers. ⋯ An outsourced diabetes education and counseling approach for community health centers appears more feasible than clinic-based models. Patients receiving the carve-out strategy also demonstrated better clinical outcomes compared to those receiving the carve-in approach. Study limitations and unclear causal mechanisms explaining change in patient behavior suggest that further research is needed.