Table 6 Summary of themes and major findings in the qualitative analysis

Flexibility and latitude of health care teams in panel management and home visits

Team composition of dedicated MA/CHW with collaborating clinicians (vs. rotating MA/CHW)

Cultural adaptation to target population

Care teams supported by practice climates conducive to facilitating the transition of diabetes self-management support responsibilities to CHW/MAs, warm handoff by clinician and acceptance of patients

Structural capabilities to stimulate monitoring of diabetes care process and outcomes

Active support of leadership in MA/CHW health coaching