{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T07:43:52Z","timestamp":1786175032306,"version":"build-2736575974"},"reference-count":9,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"abstract":"<jats:p>\n                    <jats:bold>Purpose:<\/jats:bold>\n                    Reimbursable in-person Shared Medical Appointments, where multiple patients meet with a provider to receive general education and individualized care, are effective at reducing glycated hemoglobin A1c (HbA1c) for patients with prediabetes and type 2 diabetes mellitus. There is little research on improving HbA1c control using Lifestyle Medicine Shared Medical Appointment (LMSMA) series, especially with virtual sessions.\n                    <jats:bold>Setting:<\/jats:bold>\n                    We describe the glycemic outcomes of a virtual LMSMA series for patients with prediabetes and type 2 diabetes mellitus in an academic primary care setting.\n                    <jats:bold>Intervention:<\/jats:bold>\n                    The intervention group consisted of patients attending \u22651 virtual LMSMA session; the control group was propensity-matched patients who were referred but did not schedule.\n                    <jats:bold>Outcomes:<\/jats:bold>\n                    The intervention led to a non-significant 0.09% greater HbA1c reduction (95% CI: \u22120.32, 0.14) vs control. However, intervention patients were 9% (95% CI: 1.01\u20131.17, control 85.3% vs intervention 91.4%) more likely to achieve HbA1c &lt;7.0% approximately 1.5 years after the intervention and, in the setting of similar antihyperglycemic medication doses as baseline, had 0.51 fewer active antihyperglycemic medications over follow-up vs control patients (95% CI: \u22120.96, \u22120.06).\n                    <jats:bold>Lessons Learned:<\/jats:bold>\n                    These findings support further exploration of virtual LMSMA series as a care delivery strategy for improving blood sugar control.\n                  <\/jats:p>","DOI":"10.1177\/15598276261475291","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T04:33:37Z","timestamp":1785990817000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective Analysis of a Virtual Lifestyle Medicine Shared Medical Appointment Series on Prediabetes and Type 2 Diabetes Mellitus"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9353-7226","authenticated-orcid":false,"given":"Jacob","family":"Mirsky","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Haff","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"},{"name":"Harvard Medical School"},{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meekang","family":"Sung","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niteesh K.","family":"Choudhry","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adline","family":"Rahmoune","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9746-3997","authenticated-orcid":false,"given":"Kaitlin E.","family":"Hanken","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Lauffenburger","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S006"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S001"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-025-02875-1"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/23743735231199822"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2016.05.007"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-S005"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/15598276211008396"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2025.103059"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.25.0284"}],"container-title":["American Journal of Lifestyle Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276261475291","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15598276261475291","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15598276261475291","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T07:18:47Z","timestamp":1786173527000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15598276261475291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":9,"alternative-id":["10.1177\/15598276261475291"],"URL":"https:\/\/doi.org\/10.1177\/15598276261475291","relation":{},"ISSN":["1559-8276","1559-8284"],"issn-type":[{"value":"1559-8276","type":"print"},{"value":"1559-8284","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]},"article-number":"15598276261475291"}}