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Rural Health Information Hub

University of Virginia Diabetes Tele-Education Program

  • Need: To educate people in the rural parts of Virginia who either have diabetes or are considered at high risk for developing it.
  • Intervention: Teleconferencing technology is used to offer diabetes education programs to people with diabetes or those at high risk for developing it. Health professionals are also indirectly trained in diabetes care and management.
  • Results: Participants reported better prevention techniques and/or self-management of diabetes after being thoroughly educated about this condition.


Portions of rural Virginia are considered high diabetes risk areas of the state. To address this problem, the Virginia Center for Diabetes Prevention and Education (VCDPE) at the University of Virginia (UVA) has offered free diabetes prevention and management tele-education programs to community health centers, small rural hospitals, health districts, and Critical Access Hospitals (CAHs) in these parts of the state.

Rural community health centers and rural hospitals can more efficiently use their resources by employing teleconferencing to disseminate diabetes prevention and diabetes self-management information. The experts in these fields are essentially brought into each of these organizations to educate their patients at no cost to the hosting organization.

Beginning in 2006, the Diabetes Tele-Education Program was initially funded with a grant via the Virginia Department of Health Office of Health Equity through the Federal Office of Rural Health Policy's Medicare Rural Hospital Flexibility Program. Today, funding for this program comes from the Commonwealth of Virginia and the Centers for Disease Control and Prevention (CDC). Partners in this initiative are the:

  • UVA Diabetes Education and Management Program (DEMP)
  • UVA Office of Telemedicine
  • UVA Department of Endocrinology and Metabolism

Services offered

Diabetes education courses:

  • The Basics of Diabetes
  • Nutrition Basics
  • Diabetes Self-Management Skills
  • Healthy Eating Lifestyle Changes

University of Virginia at Wise employees can take the diabetes prevention distance learning program via videoconferencing technology.

Due to COVID, the diabetes education project was modified so that people with diabetes could attend from home. VCDPE will also be piloting a tablet program in 2022, where tablets are preloaded with the educational program and are available to healthcare facilities to share with people with diabetes.


Since 2008, the program served over 3,600 patients at over 64 sites.

Types of sites:

  • Critical Access and other hospitals
  • Community Health Centers
  • Free clinics
  • Libraries
  • Senior centers
  • Health Departments
Participants map

To learn more about this program, see the 2016 abstract presented at the American Association of Diabetes Educators meeting.


Future challenges:

  • Funding
  • New site recruitment
  • Site retention
  • More meaningful outcome data (behavioral and medical)
  • Internet access in rural areas
  • COVID-19 disrupting clinical care
  • Reaching the underserved

In addition, the program is working to increase the number of participating sites in high-risk, underserved hotspot areas of Virginia. These areas include minority populations and the uninsured.


  • Building relationships with advanced clinical sites is key to success.
  • Market the programs early to increase the number of participating sites.
  • Provide the sites with creative marketing materials to share with their patients.
  • Reduce streamlined educational materials.
  • Add interactive opportunities/patient interaction during each session.

Contact Information

Lorrie Rilko, DNP, FNP, BC-ADM, Diabetes Education and Outreach Manager
Virginia Center for Diabetes Prevention and Education

Wellness, health promotion, and disease prevention

States served

Date added
March 1, 2011

Date updated or reviewed
January 12, 2022

Suggested citation: Rural Health Information Hub, 2022. University of Virginia Diabetes Tele-Education Program [online]. Rural Health Information Hub. Available at: [Accessed 24 May 2022]

Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.