Internet-based Diabetes Education and Case Management
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 152
- Locations
- 1
- Primary Endpoint
- Change in HbA1c at 12 months
Study Overview
Brief Summary
This study is comparing the effectiveness of web-based care management to either telephone-based care management or internet access alone, in patients with poorly controlled diabetes mellitus.
Detailed Description
Background:
Patients with diabetes and elevated hemoglobin A1c (HbA1c) are at risk for diabetes-related complications. Care-management may be helpful in these patients, by providing direct contact between such high-risk patients and the healthcare system. Web-based systems have previously shown promise as a means of neutralizing access barriers such as scheduling and travel to appointments and may be of particular help in improving diabetes care.
Objectives:
We examined the efficacy of two methods of diabetes education and care management: (1) a traditional model that involved telephone contact and face-to-face encounters (2) a web-based model with access to a diabetes care management web site. We compared these interventions to a study group that received no education or care management but was provided with a computer and access to diabetes self-management websites.
Methods:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 25 Years to 79 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosis of diabetes mellitus
- •Age 25-79 years
- •HbA1c >=8.5%
- •Ability to speak and understand English
- •Telephone access
- •VA-based primary care provider
- •Interest in using a glucose and BP monitor and notebook computer
Exclusion Criteria
- •Visual impairment that affects ability to read
Arms & Interventions
Arm 1
Intervention group
Intervention: Web-based care management (Procedure)
Arm 2
Comparator
Intervention: Telephone and face-to-face care management (Procedure)
Arm 3
Comparator
Intervention: Internet access alone (Procedure)
Outcomes
Primary Outcomes
Change in HbA1c at 12 months
Time Frame: 12 months
Secondary Outcomes
- Change in blood pressure, lipid profile and diabetes-related stress (self-report) at 12 months; cost-effectiveness analysis of the interventions.(12 months)