Diabetes Telemedicine Consultation: A Systems Improvement Intervention
1 other identifier
interventional
304
1 country
2
Brief Summary
This study seeks to evaluate and document the processes of outreach consultation through joint-clinics via teleconferencing as an intervention for system improvement in care delivery and management of diabetes mellitus (DM) at a Community Based Outpatient Center (CBOCs).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable diabetes-mellitus-type-2
Started Sep 2005
Longer than P75 for not_applicable diabetes-mellitus-type-2
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 1, 2005
CompletedFirst Posted
Study publicly available on registry
July 12, 2005
CompletedStudy Start
First participant enrolled
September 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2008
CompletedResults Posted
Study results publicly available
May 12, 2015
CompletedJune 15, 2015
May 1, 2015
2.2 years
July 1, 2005
July 2, 2014
May 18, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
A1c
Hemoglobin A1c is a measure of glycemic control
baseline and 18 months
Secondary Outcomes (1)
Patient Satisfaction
Base line and at18 months.
Study Arms (3)
Telemedicine CBOC
EXPERIMENTALDesignated CBOC's were involved in the intervention phase where their Diabetes Mellitus (DM) patients were asked to participate in a telemedicine visit. The Behavioral: The Diabetes Treatment Satisfaction Questionnaire given during this phase along with the Behavioral: Diabetes Empowerment Scale and the Behavioral: CBOC's undergo half-day joint-clinics via teleconference.
Control CBOC
NO INTERVENTIONThe CBOC's not involved in the intervention phase had their patients not be involved in the telemedicine visit, but traditional education.
Provider Interviews
NO INTERVENTIONQualitative interviews with providers
Interventions
A six question likert scale questionnaire regarding the patients treatment satisfaction. The responses range from very dissatisfied to very satisfied.
A twenty-eight question likert scale questionnaire regarding the patients attitude towards diabetes. The responses range from strongly agree to strongly disagree.
A patient has Diabetes/Endo clinic visit via teleconferencing. A patient is at a CBOC and the Diabetes/Endo physician is at Wade Park.
Eligibility Criteria
You may qualify if:
- \) Current prescription of insulin or an oral hypoglycemic agent
- \) A1c \> 7.0%
- \) fasting glucose levels \> 130 mg/dl
- \) referred to see a consultant and are seen during the active intervention phase. Patients with either Type I or Type II DM will be included
- A Primary Care Provider for a Cleveland CBOC
You may not qualify if:
- \) primary care obtained at more than one site (based on stop codes with evidence of more than 1 CBOC involved in care during the last 6 months)
- \) documented dementia, aphasia, and psychosis
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
VA Ann Arbor Healthcare System
Ann Arbor, Michigan, 48113-0170, United States
Louis Stokes VA Medical Center
Cleveland, Ohio, 44106-3800, United States
Related Publications (3)
Tomolo AM, Lawrence RH, Aron DC. A case study of translating ACGME practice-based learning and improvement requirements into reality: systems quality improvement projects as the key component to a comprehensive curriculum. Qual Saf Health Care. 2009 Jun;18(3):217-24. doi: 10.1136/qshc.2007.024729.
PMID: 19468006RESULTPogach L, Aron D. Balancing hypoglycemia and glycemic control: a public health approach for insulin safety. JAMA. 2010 May 26;303(20):2076-7. doi: 10.1001/jama.2010.655. No abstract available.
PMID: 20501929RESULTF O Kern E, Beischel S, Stalnaker R, Aron DC, Kirsh SR, Watts SA. Building a diabetes registry from the Veterans Health Administration's computerized patient record system. J Diabetes Sci Technol. 2008 Jan;2(1):7-14. doi: 10.1177/193229680800200103.
PMID: 19885172RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
A potential factor jeopardizing both internal and external validity relates to fact that the consultation process may be very dependent on the particular individuals involved.
Results Point of Contact
- Title
- David C. Aron, MD, MS
- Organization
- Louis Stokes VA Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
David C Aron, MD MS
Louis Stokes VA Medical Center
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 1, 2005
First Posted
July 12, 2005
Study Start
September 1, 2005
Primary Completion
December 1, 2007
Study Completion
December 1, 2008
Last Updated
June 15, 2015
Results First Posted
May 12, 2015
Record last verified: 2015-05