1841-LB: Glycemic Management Patterns of Participants in a Diabetes Integrated Behavioral Health Program

Introduction: In 2016, a large Southern CA health system launched the Diabetes Behavioral Health Integration Program (BeHIP), which co-locates psychological support with clinical diabetes care. Objective: To describe the glycemic management patterns of participants in the BeHIP program. Methods: Patients referred to the BeHIP via warm hand-off or through their EHR undergo an individualized assessment followed by short-term psychotherapy when indicated. Data was collected via EHR extraction. For those with ≥ 1 visit, the change in HbA1c was examined as follows: 1) a linear mixed effects model testing a time by program (i.e., pre vs. post initiation) interaction captured change over time relative to first BeHIP visit; 2) a paired t-test compared individual-level mean change pre- versus post- initiation of BeHIP. Results: BeHIP participants with ≥ 1 visit (N=430) had a mean age of 55.4±17.1; most were female (72.6%), Non-Hispanic White (75.1%), and married (54%). Plots show HbA1c change over time and paired differences (Fig 1A & B); and the difference in average HbA1c between those who engage in multiple BeHIP visits and those who only attend one consultation or are referred but do not engage (Fig 1C). Conclusion: Psychosocial and behavioral support embedded in a real-world clinical program improves glycemic outcomes.