Publication date: Aug 01, 2024

Conduct a secondary analysis of the TIME (Telehealth-supported, Integrated Community Health Workers (CHWs), Medication access, diabetes Education) made simple trial (SIMPLE) to evaluate healthcare utilization and explore variables that may have influenced HbA1c. Participants (N = 134 [67/group]) were low-income, uninsured Hispanics with or at risk for type 2 diabetes mellitus. We included in-person and telehealth clinician visits, other visits, missed visits, orders placed, and guideline-adherence (e. g., vaccinations, quarterly HbA1c for uncontrolled diabetes). Using multivariable models, we explored for associations between HbA1c changes and these measures. The control arm had higher missed visits rates (intervention: 45 %; control: 56 %; p = 0. 007) and missed telehealth appointments (intervention: 10 %; control: 27. 4 %; p = 0. 04). The intervention group received more COVID vaccinations than the control (p = 0. 005). Other health measures were non-significant between groups. Intervention individuals’ HbA1c improved with more missed visits (-0. 60 %; p

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