June 8, 2026 · JAMA internal medicine · DOI: 10.1001/jamainternmed.2026.1917

Structured Telehealth Community Health Worker-Clinician Feedback and Diabetes Outcomes: A Randomized Clinical Trial

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The authors aimed to evaluate the effectiveness of a multidimensional intervention involving telementored community health workers (CHWs) and a structured feedback loop on improving diabetes outcomes among low-income, uninsured adults with type 2 diabetes. The randomized clinical trial demonstrated that the intervention significantly reduced hemoglobin A1c and cholesterol levels while enhancing adherence to diabetes care guidelines, suggesting that structured feedback may help address care fragmentation in underserved populations.

Elizabeth M Vaughan, Xiaoying Yu, Amber B Amspoker, Aanand D Naik, Ashok Balasubramanyam, Craig A Johnston, Christi M Ballantyne, Salim S Virani, H Shelton Brown, Kristina Mena, Laura R Porterfield

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