Technology Intervention for Diabetes Engagement & Self-Care (TIDES):Comparative Effectiveness Randomized Clinical Trial in Primary Care for Type 2 Diabetes to Improve Engagement, Knowledge, and Self-Care
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Diabetes Mellitus Type 2
- Sponsor
- Geisinger Clinic
- Enrollment
- 170
- Locations
- 3
- Primary Endpoint
- Diabetes Knowledge
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The purpose of this 3 site, 24-week, Comparative Effectiveness Randomized Clinical Trial in Primary Care is to compare usual care to an online, multi-media, digital intervention for Persons with Type 2 Diabetes to Improve Engagement, Knowledge, and Self-Care.
Detailed Description
Objective: Technology shows promise to enhance standard care of diabetes with cost-effective, online lifestyle interventions. Compared to Primary Care (PC) Diabetes System of Care (control), the investigators hypothesized Technology Intervention for Diabetes Engagement \& Self-Care (TIDES) would significantly improve diabetes knowledge and self-care. Methods: Following Institutional Review Board (IRB) approval, physician letters were sent to patients with type 2 diabetes, age \>18 years with HgA1c \>8% identified via Electronic Health Record (EHR) of an integrated US health system to invite participation in a 3-site, 24-week diabetes study. Of the 270 with \>1 week email/web use invited to the shared medical visit (SMV) orientation, 166 subjects provided written informed consent. Diabetes knowledge and self-care assessments, vital signs, HgA1c, fasting glucose and lipids were collected at baseline, 3 and 6 months. Following randomization to TIDES (N=117) or usual care (N=49), TIDES group was oriented to the multimedia online intervention including a dosed sequence of learning via email, video, slide shows, food solutions, expert questions and answers,and quizzes.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diabetes Mellitus Type 2
- •Geisinger Primary Care Provider
- •Access to a computer
Exclusion Criteria
- •Severe medical problems that limits travel to primary care
- •Diabetes Type 1
- •Cognitive Impairment
- •Taking anti-psychotic meds
Outcomes
Primary Outcomes
Diabetes Knowledge
Time Frame: 6 months
Change from Baseline Total Score on Diabetes Knowledge Questionnaire(DKQ)at 6 months.The DKQ is the shortened 24-item version of the Diabetes Knowledge Questionnaire was derived from an original 60-item instrument to reduce participant burden.Scores on the 60-item and 24-item versions are well correlated (r=0.85).Collins,G.S.,et al.,Modification and validation of the Revised Diabetes Knowledge Scale. Diabet Med, 2011. 28(3):p.306-10. Fitzgerald,J.T.,et al.,The reliability and validity of a brief diabetes knowledge test.Diabetes Care,1998.21(5):p.706-10.
Secondary Outcomes
- Diabetes Self Care(6 months)