PROmoting Diabetes Education and Management Through Peer Support and Team Referral
PROMPT
2 other identifiers
interventional
32
1 country
1
Brief Summary
A 3-step project is proposed. Step 1 will test which BPA time point(s) maximize referral rates to DSMES services in the real world clinic setting (Aim 1). Step 2 will utilize that approach within a pilot study of six sites, comparing the effectiveness of peer support to improve attendance to DSMES services (Aim 2). Step 3 will engage stakeholders in designing a future large scale DSMES services trial to improve referral and attendance to DSMES classes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable diabetes-mellitus-type-2
Started Sep 2023
Typical duration for not_applicable diabetes-mellitus-type-2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
October 14, 2022
CompletedFirst Posted
Study publicly available on registry
October 20, 2022
CompletedStudy Start
First participant enrolled
September 12, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 14, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 14, 2025
CompletedNovember 24, 2025
November 1, 2025
1.8 years
October 14, 2022
November 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Odds of referral for DSMES Placed through the Electronic Health Record (EHR)
EHR data from the Carolina Data Warehouse. Referral defined as within 30 days of patient seen in of office
30 days
Odds of attending 1 DSMES class
EHR data -odds of attending 1 DSMES class within 3 months of referral
3 months
Secondary Outcomes (13)
Time from index patient visit to referral to DSMES
3 months
Time to get to DSMES class
3 months
Number of PWD who attended at least 2 DSMES group classes
3 months
Number of PWD who completed the entire DSMES class
3 months
A1c - Baseline
Baseline
- +8 more secondary outcomes
Study Arms (4)
1. Best Practice Advisory
EXPERIMENTALFour practices receive a suite of tools intended to increase the rate of referral to DSMES classes for patients with type 2 diabetes. In these four practices, the assigned DCE specialist will have access to a list of eligible patients who have upcoming appointments with their primary care providers. The DCE specialist will message the providers about the eligible patients via the EHR. They will also place a pended order for referral to DSMES class for the eligible patients. The health care provider will be able to either approve or deny the order for the referral Additionally, when an eligible patient presents for an appointment in one of the four intervention clinics, a best practice advisory (BPA) will fire within the EHR and encourage the provider to place a referral for DSMES classes.
2. Silent Best Practice Advisory
PLACEBO COMPARATORTwo practices will not receive the suite of tools, but the lists and BPA will be created and sent to the research team.
3. Peer Support
EXPERIMENTAL45 patients in the 6 clinics who are referred to DSMES classes who enroll in the study will be assigned a peer supporter who will work with the participant and encourage attendance to the DSMES classes in addition to the usual support offered by the clinic.
4. Usual Care
PLACEBO COMPARATOR45 patients in the 6 clinics who are referred to DSMES classes who enroll in the study will receive the usual support offered by the clinic.
Interventions
Provider will get Best Practice Advisory or Message from DCE in intervention practices
Patients referred to DSMES classes will be randomized to get a peer supporter
Eligibility Criteria
You may qualify if:
- Primary Care Providers employed at the participating practices
You may not qualify if:
- Primary Care Providers that are not employed at the participating practices
- Adult, English-speaking patients diagnosed with type 2 diabetes who are referred to DSMES classes from a provider at one of the study practices.
- Any patients who are not referred to DSMES classes from the study practices
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Laura Young, MD, PhD
UNC Chapel Hill
- PRINCIPAL INVESTIGATOR
Katrina Donahue, MD, MPH
UNC Chapel Hill
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 14, 2022
First Posted
October 20, 2022
Study Start
September 12, 2023
Primary Completion
July 14, 2025
Study Completion
October 14, 2025
Last Updated
November 24, 2025
Record last verified: 2025-11
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- Deidentified individual data that supports the results will be shared beginning 9 and continuing for 36 months following publication.
- Access Criteria
- Investigator has approved IRB, IEC, or REB and an executed data use/sharing agreement with UNC.
Deidentified individual data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.