Patient Provider Partnership: Improving Diabetes Care in the Community

NCT00167284 | Completed

• 1 other identifier: 010157
• Study Type: interventional
• Target: 270
• Locations: 0 countries
• Sites: N/A

Brief Summary

With the advent of managed care, increasing responsibility for the care of patients with diabetes is being placed on primary care physicians. Evidence exists that physicians are not meeting established practice guidelines, and outcomes in patients with diabetes are less than optimal. It is thus the objective of this study to institute a community-based diabetes education intervention for both physicians and patients to enhance adherence to guidelines and improve patient outcomes. We will conduct a chart review (submitted under a separate IRB: #000733) in primary care practices to determine health status and guideline adherence. Following the chart review, physician practices will be assigned to one of three groups: physician + patient education, physician education alone, and usual care. Following the intervention, a repeat chart review will be conducted. Pre and posttest comparisons will be conducted to examine changes primarily in glycemic control, quality of life, patient knowledge, and physician adherence to practice guidelines. Secondarily, we will examine changes in therapeutic intervention, body mass index, and barriers to diabetes care. We will also examine individual barriers to diabetes care and their influence on outcomes in this population. The last phase of the study will encompass a second follow-up visit in which we will examine behavioral factors related to clinical change and sustainability of the intervention.

Conditions

Diabetes

Keywords

chronic care model, diabetes, community, diabetes education

Outcome Measures

Primary Outcomes (3)

• A1c

• Blood Pressure

• Lipids

Secondary Outcomes (4)

• Quality of Well Being

• Empowerment

• Physician attitudes

• Patient and physician barriers to diabetes care

Interventions

physician and patient education; physician practice redesign BEHAVIORAL

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• over age 18, diagnosed diabetes, physician is participating in study

You may not qualify if:

• pregnancy, imprisonment

Sponsors & Collaborators

• University of Pittsburgh: lead
• UPMC Office of Community Initiatives: collaborator

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Physicians; Patient Education as Topic

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Health Personnel; Health Care Facilities Workforce and Services; Health Education; Preventive Health Services; Health Services

Study Officials

• Janice C Zgibor, PhD

  University of Pittsburgh

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: ECT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 9, 2005
• First Posted: September 14, 2005
• Study Start: October 1, 2001
• Study Completion: February 1, 2005
• Last Updated: September 14, 2005

Record last verified: 2005-09