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Table 2 TTIM modules for standardized and patient-driven SMAs

From: The Invested in Diabetes Study Protocol: a cluster randomized pragmatic trial comparing standardized and patient-driven diabetes shared medical appointments

TTIM module topic

Standardized SMAs

Patient-driven SMAs

Module 1: Setting the Stage and Introduction to Diabetes, Baseline Patient-Reported Outcomes

Session 1

Session 1 (includes topic selection)

Module 2: Diabetes Basics

Session 2

Sessions 2–6 (patient choice)

Module 3: Problem-Solving and Talking to Your Doctor

Session 3

Sessions 2–6 (patient choice)

Module 4A: For General Diabetes Populations: Coping with Stress and Getting the Support You Need

Session 4 (staff choose 4A or 4B)

Sessions 2–6 (patient choice)

Module 4B: For Diabetes Populations with Severe and Persistent Mental Illness: Coping with stress, mental health conditions, and diabetes

Sessions 2–6 (patient choice)

Module 5: Nutrition and Healthy Eating

Session 5

Sessions 2–6 (patient choice)

Module 6: Lifestyle Change – Physical Activity, Sleep, and Good Habits

Session 6

Sessions 2–6 (patient choice)

Module 7: Follow-up Patient-Reported Outcomes, Reflection and Acknowledgment of Progress, Graduation

Session 6

  1. SMA shared medical appointment, TTIM Targeted Training in Illness Management