NCT00914706

Brief Summary

The purpose of this study is to evaluate the impact of using a web-based (P-PROMPT) chronic disease management system (CDMS) by primary care practitioners and their team members and on their care for patients with diabetes. The system will help to ensure that all patients have up-to-date laboratory monitoring and visits as recommended by the Canadian Diabetes Association Guidelines. The hypothesis is that the use of a CDMS in Ontario primary care practices, as a part of the routine clinical management of diabetes patients, can improve monitoring frequency of A1C, blood pressure (BP) and cholesterol levels. The results of this study will serve as a benchmark for the utilization of chronic disease management software tools in primary care diabetes management for patients in Ontario, establishing and providing evidence to inform decision-makers. If the results are favorable towards CDMS interventions for the management of diabetes, potential expansion and availability of these types of programs may be possible for other chronic diseases.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
39

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Jun 2009

Typical duration for all trials

Geographic Reach
1 country

6 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

June 1, 2009

Completed
3 days until next milestone

First Submitted

Initial submission to the registry

June 4, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

June 5, 2009

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2011

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2012

Completed
Last Updated

May 9, 2013

Status Verified

May 1, 2013

Enrollment Period

2.3 years

First QC Date

June 4, 2009

Last Update Submit

May 7, 2013

Conditions

Diabetes

Keywords

Diabetes

Outcome Measures

Primary Outcomes (1)

  • Change in monitoring frequency

    Change in proportion of patients, with up-to-date monitoring of A1C (6 months), blood pressure (annually) and cholesterol (6 months) in practices using a CDMS for 1 year

    1 year

Interventions

P-PROMPTOTHER

P-PROMPT is a web-based chronic disease management system. The system will help to ensure that all patients have up-to-date laboratory monitoring and visits as recommended by the Canadian Diabetes Association Guidelines.

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

The unit of evaluation or cluster for this study will be individual primary care practitioners. The study will analyze aggregate practice level data from all rostered diabetes patients within each practice. Between 33 and 61 primary care practitioners with a total number of patients with diabetes across all practices of 2,376 from across Ontario will be enrolled in the study.

You may qualify if:

  • Ontario primary care practitioners able to provide a list of patients within their practice.
  • High-speed internet access in the practice environment or willingness to obtain high-speed internet access.
  • Physicians willing to use the CDMS or already using it currently.

You may not qualify if:

  • Ontario primary care practitioners involved in the QIIP Learning Collaboratives who are practicing in one of the following local health integration networks:
  • LHIN 2 South West
  • LHIN 7 Toronto Central
  • LHIN 11 Champlain AND
  • LHIN 14 North West so as to not interfere with other Provincial diabetes initiatives.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Brockville Family Health Team

Brockcillw, Ontario, K6C 0A5, Canada

Location

Delhi Family Health Team

Delhi, Ontario, N4B 2L8, Canada

Location

Summerville Family Health Team

Etobicoke, Ontario, M9C 5N2, Canada

Location

Harrow Health Centre

Harrow, Ontario, N0R 1G0, Canada

Location

Leamington and Area Family Health Team

Lemington, Ontario, N8H 1N9, Canada

Location

Sherbourne Family Health Team

Toronto, Ontario, M5A 2S5, Canada

Location

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Ron Goeree

    St. Joseph's Healthcare Hamilton/McMaster University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director, PATH Research Institute

Study Record Dates

First Submitted

June 4, 2009

First Posted

June 5, 2009

Study Start

June 1, 2009

Primary Completion

October 1, 2011

Study Completion

March 1, 2012

Last Updated

May 9, 2013

Record last verified: 2013-05

Locations

CA(6)