Diabetes Medical Group Visits Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- Patients who participate in the diabetes group visits should achieve improvement in Clinical outcomes - better A1C levels, reduced blood pressure, reduced cholesterol levels
研究概览
简要总结
This pilot study aims to increase access to diabetes education by delivering it in a culturally-appropriate community setting and by involving different members of the diabetes care team including physicians, diabetes educators, and health promoters/community health workers.
Diabetes medical group visits will be held at the Grady North DeKalb satellite clinic the third Thursday of the month starting in October 2009. There will be two cohorts of patients- English speaking patients and Spanish speaking patients. Each group will be scheduled for 4 2-hour group visits throughout a period of 9 months. These visits will be every 8 weeks for each group. During the visit, the patient will be seen by a physician, attend a diabetes education session, re-fill their diabetes medications and receive lab orders.
详细描述
Patients who participate in the diabetes group visits should achieve improvement in Clinical outcomes - better A1C levels, reduced blood pressure, reduced cholesterol levels ; adherence to evidence-based medicine - keeping appointments and scheduling eye exams, foot-checks, and/or taking medication as prescribed; behavioral outcomes- goal setting, achievement of goals, problem solving; access - attendance at educational sessions; ability to obtain affordable medications and devices; and satisfaction among patients and health professionals.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary care at the Grady North DeKalb Health center
- •Valid Grady card
- •Age 18-80
- •HbA1c>=8.0% - 11.0%
- •Must speak English or Spanish
排除标准
- •-Primary care provider excludes patient from study
- •Patient is reluctant to participate in a group visit
- •Reduced life expectancy as determined by any of the following:
- •End-stage renal disease on dialysis
- •Active congestive heart failure II and IV
- •Lung disease requiring supplemental oxygen
- •Current malignancy with any evidence of disease or currently undergoing chemotherapy or radiation therapy
- •Cirrhosis of the liver
- •Mayor mental health disorders
结局指标
主要结局
Patients who participate in the diabetes group visits should achieve improvement in Clinical outcomes - better A1C levels, reduced blood pressure, reduced cholesterol levels
时间窗: 1 year
次要结局
- keeping appointments and scheduling eye exams, foot checks(1 year)
- goal setting, achievement of goals, problem solving; access(1 year)
- behavioral outcomes(1 year)
- attendance at educational sessions; and satisfaction among patients and health professionals(1 year)
研究者
Guillermo Umpierrez
Professor
Emory University