Table 2.
Evidence sources underpinning the integrated holistic diabetes care model for people experiencing homelessness (IHD-CMPH).
| IHD-CMPH domain | Supported by survey analytics (quantitative predictors) | Supported by thematic analysis (qualitative data) | Supported primarily by literature/references |
|---|---|---|---|
| Clinical and service delivery solutions | Frequent service contact reduced perceived management difficulty; outreach effectiveness associated with better outcomes | Themes of fragmentation, inflexible appointments, and lack of access to screening | Reinforced by international evidence on outreach/mobile clinics |
| Organisational integration and social support | Clear organisational policy and cross-sector collaboration associated with better perceived outcomes (univariate) | Barriers included unstable housing, food insecurity, lack of coordination | Supported by NHS inclusion health frameworks and housing-linked care models |
| Training and provider empowerment | Outreach-specific training and peer support independently predicted preparedness and outcomes | Calls for blended, trauma-informed, practice-focused training | Supported by evidence on interdisciplinary and peer-mentor models |
| Digital access, monitoring and improvement | Not directly measured | Limited mention in qualitative responses (digital exclusion) | Strongly evidenced by literature on digital health equity and connectivity |