D-HOMESCollaborative Care Intervention for Homeless Diabetes Patients Medication Adherence

The study focuses on creating and testing a collaborative care approach for people experiencing homelessness and diabetes (DH). This approach combines motivational interviewing, behavioral activation, education, and psychosocial support to enhance medication adherence, tailored specifically to the experiences of this population. The aim is to improve medication adherence and diabetes self-care, which could eventually lead to better blood sugar control and more efficient healthcare use. The study is important as it addresses a unique context, aiming to meet the unmet needs of people experiencing both homelessness and diabetes. In this study, participants will be randomly assigned to either the D-Homes program or a brief diabetes education group. The study will enroll 54 participants and refine procedures for the randomized trial outcome measures. The acceptability of the intervention will be assessed using the Client Satisfaction Questionnaire, an 8-item version, with higher scores indicating greater satisfaction. Additionally, the study team will track the retention of participants who complete both post-treatment assessment visits, at 12-16 weeks and 24-30 weeks post-treatment, measuring retention as the percentage of enrolled participants completing both assessments.