712-P: Lessons from a Pragmatic Trial to Implement a Patient Self-Management Support Program in Primary Care

Advanced primary care models emphasize patient-centered care, including self-management support (SMS). Connection to Health (CTH) is a comprehensive, evidence-based SMS program that enhances interactions between primary care clinicians and patients. Uptake and maintenance of programs such as CTH in primary care have been limited by the inability of practices to adapt and implement program components into their culture, patient flow, and work processes. Thirty-six primary care practices participated in a three-arm, cluster-randomized trial to determine the incremental benefit of brief, targeted practice facilitation on the implementation of CTH. Practices receiving the CTH program, compared to those receiving only standard SMS education, showed significantly greater improvement in SMS activities (e.g., goal setting, action planning, patient follow-up, behavioral health discussions), as assessed by chart audit (p Disclosure D. Fernald: None. D.M. Hessler: Consultant; Self; Eli Lilly and Company. V. Bowyer: None. B. Jortberg: None. R. Wearner: None. L. Fisher: Consultant; Self; Abbott, Eli Lilly and Company. P. Dickinson: None. Funding National Institute of Diabetes and Digestive and Kidney Diseases (1R18DK096387-01)