NCT00403091

Brief Summary

Rural Diabetes Online Care (RDOC) will develop an Internet-based intervention for rural primary care physicians, focusing on improving care for adult patients with diabetes. The intervention, drawing upon the principles of quality improvement and providing tools for system-based changes in practice, is designed for the rural practice, where resources are constrained.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
205

participants targeted

Target at P75+ for not_applicable diabetes-mellitus-type-2

Timeline
Completed

Started Apr 2005

Longer than P75 for not_applicable diabetes-mellitus-type-2

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2005

Completed
1.6 years until next milestone

First Submitted

Initial submission to the registry

November 21, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 23, 2006

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2009

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2010

Completed
Last Updated

August 11, 2010

Status Verified

August 1, 2010

Enrollment Period

4 years

First QC Date

November 21, 2006

Last Update Submit

August 10, 2010

Conditions

Diabetes Mellitus Type 2

Keywords

Diabetes mellitusInternetEducation, ProfessionalQuality Indicators, Health CareQuality of Health CareHypertensionHyperlipidemia

Outcome Measures

Primary Outcomes (3)

  • A1c

    January 2005-present

  • Blood Pressure

    January 2005-present

  • Lipids

    January 2005-present

Secondary Outcomes (5)

  • Eye screening

    January 2005-present

  • Foot exam

    January 2005-present

  • Kidney disease monitored

    January 2005-present

  • Dietary or exercise advice

    January 2005-present

  • Smoking cessation advice

    January 2005-present

Study Arms (2)

Intervention

EXPERIMENTAL
Behavioral: Internet Intervention

Control

ACTIVE COMPARATOR
Behavioral: Control

Interventions

Internet InterventionBEHAVIORAL

Internet-based intervention aims to improve guideline adherence by rural physicians caring for adult patients with type 2 diabetes.

Intervention
ControlBEHAVIORAL

The comparison group will receive a text-based, non-interactive Internet posting of publicly available resources.

Control

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Rural Primary Care Physicians

You may not qualify if:

  • Non-rural non-primary care physicians

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Alabama at Birmingham

Birmingham, Alabama, 35294, United States

Location

University of Alabama

Tuscaloosa, Alabama, 35487, United States

Location

Related Publications (4)

  • Safford MM, Allison JJ, Kiefe CI. Patient complexity: more than comorbidity. the vector model of complexity. J Gen Intern Med. 2007 Dec;22 Suppl 3(Suppl 3):382-90. doi: 10.1007/s11606-007-0307-0.

    PMID: 18026806BACKGROUND

  • Safford MM, Shewchuk R, Qu H, Williams JH, Estrada CA, Ovalle F, Allison JJ. Reasons for not intensifying medications: differentiating "clinical inertia" from appropriate care. J Gen Intern Med. 2007 Dec;22(12):1648-55. doi: 10.1007/s11606-007-0433-8. Epub 2007 Oct 24.

    PMID: 17957346RESULT

  • Foster PP, Williams JH, Estrada CA, Higginbotham JC, Voltz ML, Safford MM, Allison J. Recruitment of rural physicians in a diabetes internet intervention study: overcoming challenges and barriers. J Natl Med Assoc. 2010 Feb;102(2):101-7. doi: 10.1016/s0027-9684(15)30497-1.

    PMID: 20191922RESULT

  • Billue KL, Safford MM, Salanitro AH, Houston TK, Curry W, Kim Y, Allison JJ, Estrada CA. Medication intensification in diabetes in rural primary care: a cluster-randomised effectiveness trial. BMJ Open. 2012 Sep 17;2(5):e000959. doi: 10.1136/bmjopen-2012-000959. Print 2012.

    PMID: 22991217DERIVED

Related Links

MeSH Terms

Conditions

Diabetes Mellitus, Type 2Diabetes MellitusHypertensionHyperlipidemias

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesVascular DiseasesCardiovascular DiseasesDyslipidemiasLipid Metabolism Disorders

Study Officials

  • Jeroan J Allison, MD, MS Epi

    University of Alabama at Birmingham

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

November 21, 2006

First Posted

November 23, 2006

Study Start

April 1, 2005

Primary Completion

April 1, 2009

Study Completion

April 1, 2010

Last Updated

August 11, 2010

Record last verified: 2010-08

Locations

US(2)