Managing Diabetes to Gain Opportunities for a More Active Life

Not Applicable

Completed

• Conditions: Diabetes Mellitus, Type 2
• Interventions: Behavioral: My Diabetes Goal Survey and Optional Care Management

• Registration Number: NCT03692208
• Lead Sponsor: University of Chicago

Brief Summary

The purpose of this novel patient-facing disease management intervention is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management.

Detailed Description

The purpose of this novel patient-facing disease management intervention, My Diabetes GOAL, is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management by: 1) establishing personalized goals of care based on comorbidities and preferences, 2) tracking diabetes measures against personalized goals, and 3) selecting the route and intensity of care management to help patients achieve their goals (e.g., telephonic care management, in-person care management, and self-care resources). This application can be used to individualize care, increase engagement with patient portals, and improve patient self-efficacy, as they take a more active role in their care.

Study Timeline

• Study First Submitted: 2018-09-20
• Study First Submitted QC: 2018-09-28
• Study First Posted: 2018-10-02
• Study Start: 2018-10-29
• Primary Completion: 2020-08-12
• Study Completion: 2020-09-29
• Results First Submitted: 2022-04-08
• Status Verified: 2023-01
• Results First Submitted QC: 2023-01-25
• Last Update Submitted: 2023-01-25
• Results First Posted: 2023-02-21
• Last Update Posted: 2023-02-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 110

Inclusion Criteria

• 65 years and older
• Diagnosis of Type 2 Diabetes
• Enrolled in MyChart (University of Chicago Patient Portal)
• Outpatient clinic visit in the prior year

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Exclusion Criteria

• Under 64 years of age
• No type 2 diabetes
• Not enrolled in MyChart
• No outpatient clinic visit in the prior year

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Delayed Intervention/Control	My Diabetes Goal Survey and Optional Care Management	Patients enrolled in the delayed intervention arm will receive usual care for the first 6 months, and then will receive the survey and intervention as stated above.
Intervention	My Diabetes Goal Survey and Optional Care Management	Patients that are enrolled in the intervention arm will receive an email message via MyChart (University of Chicago patient portal) to complete an initial questionnaire. Completion of the questionnaire will be required prior to initiating risk factor tracking and opening the portal to requests for care management support. A study team member (diabetes nurse educator) will contact the patient, if requested via the survey, to initiate telephonic care management or links to additional support services. Upon completion the study, all patients will receive a post-survey via MyChart.

Primary Outcome Measures

Name	Time	Method
Documentation of Diabetes Goal	Baseline, 6 months	Documentation of a personalized goal for diabetes care (e.g., A1C target) of diabetes care (yes or no).

Secondary Outcome Measures

Name	Time	Method
Patient Ability to Reach Personalized Goals	Baseline, 6 month	Using EHR data, we will measure whether or not patients are reaching the goals they have documented in the survey.
Personalized A1C Goals	Baseline, 6 months	The A1C goal outcome is based on a survey response and is distinct from the measured A1C from laboratory testing. The number of analyzed A1C goal results is therefore dependent on the number of survey respondents.

Trial Locations

Locations (1)

University of Chicago; 🇺🇸 Chicago, Illinois, United States