Problem:
In rural areas, traditional in-person Diabetes Self-Management Education and Support (DSMES) programs are often limited by provider shortages, travel barriers, and systemic constraints, making them inaccessible for many patients (Camargo-Plazas et al., 2023; Molavynejad et al., 2022). While the proposed telehealth-based, nurse-led Diabetes One-Day (D1D) intervention offers a practical solution, it is essential to evaluate other interprofessional alternatives that may also address the identified needs of this rural population and setting. One alternative includes pharmacist-managed DSMES interventions. Pharmacists can support diabetes management by reinforcing medication adherence, providing medication therapy management, and offering patient education. These interventions fit well within rural settings, where pharmacists are often more accessible than primary care providers. However, their impact may be limited by scope-of-practice restrictions, which can prevent them from independently initiating or adjusting therapy without physician oversight (Yu et al., 2022). Despite this, pharmacists offer a strong complement to nurse-led models, particularly when integrated into interprofessional care teams. Another alternative involves the use of community health workers (CHWs), who provide culturally tailored education, peer support, and care coordination through telehealth or home visits. Need Assignment Help?