Providing Diabetes Services in the Lions Eye Clinic: a Pilot Project to Assess the Impact of Diabetes Education During Ophthalmology Visits
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Diabetes Complications
- Sponsor
- California Pacific Medical Center Research Institute
- Enrollment
- 36
- Primary Endpoint
- Change from Baseline in Patient Knowledge about Diabetes at 3 months (via multiple-choice surveys)
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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).
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Change from Baseline in Patient Knowledge about Diabetes at 3 months (via multiple-choice surveys)
Time Frame: 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 Outcomes
- 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)
- Patient Satisfaction / Motivation / Subjective Improvement in Knowledge (brief surveys)(1 day)
- Change from Baseline in Patient Knowledge about Diabetes Immediately after using Educational Services (via multiple-choice surveys)(1 day)