Chronic Care Management/Patient Relationship Management Proof of Concept

Not Applicable

Completed

• Conditions: Diabetes Mellitus

• Registration Number: NCT01182480
• Lead Sponsor: Denver Health and Hospital Authority

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-05
• Study First Submitted: 2010-08-11
• Study First Submitted QC: 2010-08-12
• Study First Posted: 2010-08-16
• Primary Completion: 2011-03
• Study Completion: 2011-05
• Results First Submitted: 2012-07-11
• Status Verified: 2014-10
• Results First Submitted QC: 2014-10-29
• Last Update Submitted: 2014-10-29
• Results First Posted: 2014-11-05
• Last Update Posted: 2014-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 47

Inclusion Criteria

• 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.

Exclusion Criteria

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Patient Engagement	3 months	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.

Secondary Outcome Measures

Name	Time	Method
Glycemic Control	3 months	Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.
Appointment Attendance	3 months	As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups
Perceived Self-efficacy	3 months	As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention

Trial Locations

Locations (1)

Denver Health and Hospital Authority; 🇺🇸 Denver, Colorado, United States