Managing Diabetes to Gain Opportunities for a More Active Life

The University of Chicago

Status: Completed

Conditions: Diabetes Mellitus, Type 2

Treatments: Behavioral: My Diabetes Goal Survey and Optional Care Management

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03692208

R01DK127961-01 (U.S. NIH Grant/Contract)

IRB18-0425

Details and patient eligibility

About

The purpose of this novel patient-facing disease management intervention is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management.

Full description

The purpose of this novel patient-facing disease management intervention, My Diabetes GOAL, is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management by: 1) establishing personalized goals of care based on comorbidities and preferences, 2) tracking diabetes measures against personalized goals, and 3) selecting the route and intensity of care management to help patients achieve their goals (e.g., telephonic care management, in-person care management, and self-care resources). This application can be used to individualize care, increase engagement with patient portals, and improve patient self-efficacy, as they take a more active role in their care.

Enrollment: 110 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 65 years and older
• Diagnosis of Type 2 Diabetes
• Enrolled in MyChart (University of Chicago Patient Portal)
• Outpatient clinic visit in the prior year

Exclusion criteria

• Under 64 years of age
• No type 2 diabetes
• Not enrolled in MyChart
• No outpatient clinic visit in the prior year

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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110 participants in 2 patient groups

Intervention

Experimental group

Description:

Patients that are enrolled in the intervention arm will receive an email message via MyChart (University of Chicago patient portal) to complete an initial questionnaire. Completion of the questionnaire will be required prior to initiating risk factor tracking and opening the portal to requests for care management support. A study team member (diabetes nurse educator) will contact the patient, if requested via the survey, to initiate telephonic care management or links to additional support services. Upon completion the study, all patients will receive a post-survey via MyChart.

Treatment:

Behavioral: My Diabetes Goal Survey and Optional Care Management

Delayed Intervention/Control

Active Comparator group

Description:

Patients enrolled in the delayed intervention arm will receive usual care for the first 6 months, and then will receive the survey and intervention as stated above.

Treatment:

Behavioral: My Diabetes Goal Survey and Optional Care Management