ATDM-supported diabetes care also had positive impacts on patient-centered outcomes81 (publication included in Appendix 1). Compared to control patients, intervention patients reported greater satisfaction with care, especially with the technical quality of the services they received, their choice of providers and continuity of care, their communication with providers, and the quality of their health outcomes (all p< .04). There also were improvements in patients' self-efficacy to perform self-care activities (p = .006), and perceived access to care. Compared to patients receiving usual care, those receiving the intervention reported fewer symptoms of depression at follow-up (p = .02) and fewer days in bed due to illness (p< .03).