Chronic Care Management/Patient Relationship Management Proof of Concept

NCT01182480 | Completed Results

• 1 other identifier: COMIRB 10-0257
• Study Type: interventional
• Target: 47
• Locations: 1 country
• Sites: 1

Brief Summary

This proof of concept study proposes to evaluate the feasibility of a communications-technology-based chronic care and patient relationship management program to improve diabetes self management among adult diabetic patients in an urban safety net population by providing between-visit reminders and chronic disease support through cell phone text messaging. The investigators hypothesize that diabetic patients enrolled in the program will be less likely to miss scheduled appointments and will have greater perceived self-efficacy and improved patient satisfaction concerning chronic disease management. No-show rates among patients enrolled in the program are expected to be lower than among patients receiving standard care.

Conditions

Diabetes Mellitus

Outcome Measures

Primary Outcomes (1)

• Patient Engagement

  Patient engagement was assessed by patient text message response rates and average response times. Response rates were calculated as a percentage from the number of patient-initiated text messages sent in response to a system-generated request for information (the numerator) divided by the total number of system-generated requests for information (the denominator). Average response times were calculated from system-recorded time stamps for outbound requests sent and inbound patient-initiated responses received.

  3 months

Secondary Outcomes (3)

• Appointment Attendance

  3 months

• Perceived Self-efficacy

  3 months

• Glycemic Control

  3 months

Interventions

Patient Relationship Management (PRM) Program BEHAVIORAL

Patients will be contacted through SMS text messaging under the following circumstances: * 7 days, 2 days, and 1 day before scheduled appointments. Messages will contain the date, time, and location where the appointment is scheduled. Patients will be prompted to respond with 'YES' if they are able to keep their appointment, and 'NO' if they need to reschedule. An acknowledgement of receipt will be sent in response to all patient-initiated messages. * 3 days per week to request that patients respond with fasting blood sugar measurements. An acknowledgement of receipt will be sent in response to all patient-initiated messages.

Eligibility Criteria

• Age: 18 Years - 76 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients with diabetes
• receive care at a primary care clinic in the DH system
• between 18 and 76 years of age
• primary language of English or Spanish
• ownership of a qualifying cell phone (SMS text capable)
• ownership of a glucometer.

You may not qualify if:

• life expectancy less than six months,
• do not have or cannot use a phone or glucometer
• do not want to participate

Sponsors & Collaborators

• Denver Health and Hospital Authority: lead
• Microsoft Corporation: collaborator
• EMC Consulting: collaborator

Study Sites (1)

Denver Health and Hospital Authority

Denver, Colorado, 80204, United States

Location

Related Publications (1)

• Fischer HH, Moore SL, Ginosar D, Davidson AJ, Rice-Peterson CM, Durfee MJ, MacKenzie TD, Estacio RO, Steele AW. Care by cell phone: text messaging for chronic disease management. Am J Manag Care. 2012 Feb 1;18(2):e42-7.

  PMID: 22435883 RESULT

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

Insufficient power (# appointments) to detect changes in attendance rates; technical issues with self-efficacy data resulting in inability to compare pre- and post- intervention; intervention period insufficient to assess impact on glycemic control.

Results Point of Contact

• Title: Andrew W. Steele, MD, MPH, MSc
• Organization: Denver Health and Hospital Authority

andy.steele@dhha.org

303-602-9773

Study Officials

• Andrew W Steele, MD, MPH

  Denver Health and Hospital Authority

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, Medical Informatics

Study Record Dates

• First Submitted: August 11, 2010
• First Posted: August 16, 2010
• Study Start: May 1, 2010
• Primary Completion: March 1, 2011
• Study Completion: May 1, 2011
• Last Updated: November 5, 2014
• Results First Posted: November 5, 2014

Record last verified: 2014-10

Locations

US (1)