Comparison of Outreach Methods to Encourage Enrollment in Diabetes Prevention and Weight Management Programs

Kaiser Permanente

Status: Completed

Conditions: Obesity; PreDiabetes

Treatments: Other: EHR gaps; Other: Bulk outreach; Other: Dietician call

Study type: Interventional

Funder types: Other

Identifiers

NCT03200535

CO-17-2437

Details and patient eligibility

About

Individuals with prediabetes are at increased risk for developing diabetes. Higher hemoglobin A1c's (6.1-6.4%) are associated with a high risk of developing diabetes. It is known that programs such weight management classes and one-on-one counseling with registered dieticians can lead to weight loss and decrease the risk of diabetes. However, engagement of Kaiser Permanente Colorado members in these activities is low. The purpose of this study is to determine which of three outreach methods is most effective in increasing engagement in these activities.

Enrollment: 6,588 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Kaiser Permanente Member
• Age 18-75
• Prediabetes
• BMI >= 25
• A1c 6.1-6.4%
• No dietitian visit within the past 3 years

Exclusion criteria

• Pregnancy

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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6,588 participants in 4 patient groups

Usual care

No Intervention group

Description:

Usual care

Electronic health record "gaps"

Active Comparator group

Description:

Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient

Treatment:

Other: EHR gaps

Bulk outreach

Active Comparator group

Description:

Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent

Treatment:

Other: Bulk outreach

Other: EHR gaps

Personalized outreach

Active Comparator group

Description:

Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent and patients will receive a personalized call by a registered dietitian

Treatment:

Other: Dietician call

Other: Bulk outreach

Other: EHR gaps