The Potential of Technology to Improve Chronic Disease Management and Quality of Care

NCT00221455 | Completed Phase 1

• 1 other identifier: 51760
• Study Type: interventional
• Target: 1,000
• Locations: 1 country
• Sites: 1

Brief Summary

We seek to determine if patient data entry, data entered based alerts, and data review in a secure patient portal may provide a sustainable approach to improve diabetic outcomes in a cost effective manner. We plan to study the extent to which the portal can improve diabetic outcomes and quality of care. We recognize, however, that some patients will be more predisposed to adopting technology and some will be more predisposed to improving their compliance than others. Hence, we will also develop and test interventions that may improve adoption and compliance. The goals of the proposed study are: 1) to assess whether a web portal will improve care outcomes in diabetic patients; 2a) to describe the characteristics of patients whose health behavior improves over the study period; 2b) to describe the characteristics of patients who adopt the web portal-based disease management technology; 3) to develop and test targeted interventions to increase the adoption of the web portal and improve patient health behavior; and 4) to monitor the ongoing costs associated with the web portal and patient healthcare resource utilization, and to monitor the incremental costs of the interventions designed to improve utilization of the technology and patient compliance with their diabetic regimens.

Conditions

Diabetes Mellitus

Keywords

Diabetes Mellitus; Chronic disease management; Patient portal; Patient empowerment

Outcome Measures

Primary Outcomes (1)

• Clinical Outcome Measures: HbA1c, LDL,and the presence or absence of clinically significant proteinuria.

Secondary Outcomes (1)

• Technology Adoption will be measured by tracking the patient usage of the various portal features

Interventions

Patient diabetic self-management using the diabetic patient portal tools BEHAVIORAL

A variety of educational interventions for non-adopters of the technology, and for non-compliant patients. BEHAVIORAL

Eligibility Criteria

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

Sponsors & Collaborators

• Robert Wood Johnson Foundation: lead

Study Sites (1)

The Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

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Related Links

• Patient portal log in page

MeSH Terms

Conditions

Diabetes Mellitus; Patient Participation

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Martin Harris, MD, MBA

  The Cleveland Clinic

  PRINCIPAL INVESTIGATOR

• Holly D Miller, MD, MBA

  The Cleveland Clinic

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 15, 2005
• First Posted: September 22, 2005
• Study Start: September 1, 2004
• Study Completion: September 1, 2007
• Last Updated: July 27, 2011

Record last verified: 2011-07

Locations

US (1)