A Pilot Project to Assess the Impact of Diabetes Education During Ophthalmology Visits
- Conditions
- Diabetes ComplicationsDiabetic Retinopathy
- Interventions
- Behavioral: iPad appBehavioral: Educator sessionsBehavioral: Retinal photos
- Registration Number
- NCT02334137
- Brief Summary
The overarching purpose of this project is to provide diabetes education to the diverse patient population at the Lions Eye Clinic, a resident-run ophthalmology practice at California Pacific Medical Center. Because of high clinic volume in a teaching environment, our patients often experience long wait times. The goal of this program is to utilize this wait time for diabetes education, a much-needed corollary to the eye care that patients receive at our clinic.
This pilot project will investigate the impact of a program like this in our patient population. Specifically, the investigators are investigating whether diabetes education delivered in an ophthalmology setting enhances patient understanding of diabetes (via knowledge surveys) and/or leads to improved blood glucose control (via hemoglobin A1c). This is a 6-month study that runs through April 2015, and looks at the impact of an interactive diabetes education iPad app +/- in-person sessions with a diabetes educator. A subset of patients who meet with a diabetes educator will also be shown their own retinal images (compared to a normal retina).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 36
- Type 1 or Type 2 diabetes (as defined by evident systemic findings OR recent hemoglobin A1c OR patient report, as specific blood sugar data and knowledge of particular medications are often limited in this population)
- Age 18-75
- Able and willing to provide informed consent
- Speak English, Spanish, or any other language for which a translator is present
- Advanced visual acuity loss in both eyes which prevents adequate use of educational tools
- Pregnant women, elderly patients (>75 years old), children and adolescents (17 or younger)
- Non-English/Spanish speakers for whom a translator is not present
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Educator sessions + retinal photos Retinal photos This group will have same access as "iPad app + education sessions" and in addition will be able to briefly review their own retinal photos (compared to normal retina) with a resident ophthalmologist during timeline of pilot program. Educator sessions Educator sessions This group will have unlimited access to educational iPad app AND at least one appointment with a certified diabetes educator or registered dietitian while waiting for ophthalmology visits. Educator sessions + retinal photos iPad app This group will have same access as "iPad app + education sessions" and in addition will be able to briefly review their own retinal photos (compared to normal retina) with a resident ophthalmologist during timeline of pilot program. iPad app iPad app This group will have unlimited access to educational iPad app while waiting for ophthalmology visits. Educator sessions + retinal photos Educator sessions This group will have same access as "iPad app + education sessions" and in addition will be able to briefly review their own retinal photos (compared to normal retina) with a resident ophthalmologist during timeline of pilot program. Educator sessions iPad app This group will have unlimited access to educational iPad app AND at least one appointment with a certified diabetes educator or registered dietitian while waiting for ophthalmology visits.
- Primary Outcome Measures
Name Time Method Change from Baseline in Patient Knowledge about Diabetes at 3 months (via multiple-choice surveys) Participants will be re-surveyed at their next follow-up eye appointment, an expected average of 3 months post-intervention Objective assessment of patient knowledge about diabetes using 13 multiple-choice questions
- Secondary Outcome Measures
Name Time Method Change from Baseline Hemoglobin A1c at 3 months Participants will have repeat lab drawn at their next follow-up eye appointment, an expected average of 3 months post-intervention Provides estimate of patient's average blood sugar over past three months
Patient Satisfaction / Motivation / Subjective Improvement in Knowledge (brief surveys) 1 day Brief 3-4 question surveys to assess patient satisfaction with services offered, motivation to manage their disease process, and subjective improvement in knowledge after using educational services
Change from Baseline in Patient Knowledge about Diabetes Immediately after using Educational Services (via multiple-choice surveys) 1 day Objective assessment of patient knowledge about diabetes using 13 multiple-choice questions