Date of Graduation


Document Type



Diabetes mellitus type 2, Social determinants of health, rural health care

Degree Name

Doctor of Nursing Practice (DNP)

Degree Level



Kilmer, Michele R.


PURPOSE: To determine if identifying SDOH barriers to care in adults with DMT2 and providing information about community-based resources designed to decrease the impact of these barriers will improve adherence, decrease SDOH barriers, and reduce HbA1c levels.

DESIGN/METHODS: Quasi-experimental design. Participants completed PRAPARE screenings and received handouts detailing contact information for local resources. HbA1c levels were collected prior to or at the initial appointment. Contact was attempted at 4-6 weeks to ensure resources were utilized. 3-month follow up appointments were completed during which PRAPARE screenings were repeated, HbA1c levels were collected, and post-intervention surveys were completed.

CONClUSIONS: Participants who did not access resources demonstrated a slight increase in HbA1c 0.35% in comparison to participants who did access the resources provided. However, paired samples t-test identified no significant difference in the mean HbA1c in either group. PRAPARE screenings demonstrated 83% of participants identified at least one SDOH barrier. Improving access to community-based resources can aid in the reduction of barriers to care and improve the management of chronic conditions thereby improving the overall health of the community.