Diabetes

Our evidence-based intervention is targeted towards patients with uncontrolled diabetes. Delivered by peer mentors who share the diagnosis of diabetes, the program delivers over a 1 point drop in HbA1C in those patients with an initial HbA1c > 9%. The program is based on multiple randomized clinical trials working with populations across the United States, including minorities. Through funding by the NIH, we are translating academic insights into actual clinical practice.

Two independent randomized clinical trials at UPenn and UCSF show that phone-based, peer-to-peer mentoring reduces HbA1c significantly. (Annals of Medicine, 2012; Annals of Family Medicine, 2013).

The results showed a 1.1 point drop in HbA1c for peer mentoring arm vs. 0.01-0.3 drop in control group with normal care (p < 0.01).

Mentoring from someone successfully managing their diabetes, typically someone who struggled initially, can provide much-needed motivation, insight, and perspective to inspire persistent behavior change.

InquisitHealth recently completed a trial with a healh plan to measure the impact of our people, processes, & technology on a diabetic population's HbA1c. To see the results, click on the 'Case Study' tab, give us some information about you, and we'll send you the case study via e-mail.

Our peer mentors have diabetes themselves, and have been managing it well for at least one year. Each mentor is rigorously vetted & screened through interviews, assessment calls, and mentoring fundamentals tests. Once they've been screened, they go through a 5+ hour online training process through Peer Mentor University ™.

On an ongoing basis, mentors are held to the highest standards of quality. They receive mystery calls that are meant to serve as training, attend monthly conference calls with professional educators or providers, and use the tools within the platform for ongoing bite-sized training. Our team reaches out to each mentee to get feedback on their mentor, and we use that feedback to continuously help mentors sharpen their mentoring skills.

The program is flexible and customized to each patient's individual needs. The typical program is 6 months in length and consists of a cadence of phone calls, text messages, and shared content. Rollover each of the points on the timeline below to better understand a sample program. Note that this is only a sample. In some cases, calls take place several times a week and in others, calls are once a month. The program's cadence is set according to each individual mentee's needs.

Target

Patients with
HbA1c>9%

Phone Call

Calls every
2 Weeks

SMS

Weekly 2-way
text-message
Month 1
The first month is focused on establishing rapport, understanding the social structure, filling in knowledge gaps, reviewing how to create inspirational goal statements, and completing a self-assessment (mentee) with the mentor facilitating the process.
Month 2-5
Months 2 - 5 are dedicated to goal progression. Mentors will discuss topics relevant to the mentee related to diet/nutrition, exercise, and self-management (e.g. cooking, monitoring blood sugar, understanding exercise barriers, etc) and work with mentees to set SMART goals. Mentors will follow-up with mentees over SMS over the upcoming week(s) to ensure goals are progressing.
Month 6
By Month 6, the goals that were achieved and sustained will typically evolve into habits. Mentors will retrospectively look back at the progression of the mentee, determine the extent to which mentoring is still needed, and iterate the importance of small habits in driving sustainable behavioral change.

We just completed a 6-month pilot program with the Care Management Organization of Montefiore Medical Center.

- 30 patients, 40% Hispanic
- Initial HbA1c 10.6
- 1.3 point reduction in HbA1c

Let us know if you'd like to read the full case study.