Personalized Health Planning in Shared Medical Appointments for Individuals With Type II
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Type II Diabetes
- Sponsor
- Duke University
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Feasibility measured using a patient satisfaction survey
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The primary aim of this study is to examine the feasibility of implementing an evidence based patient engagement strategy, known as personalized health planning (PHP), in the context of a a shared medical appointment (SMA) for individuals with type II diabetes in a primary care setting.
Detailed Description
All data for the prospective portion of this study was done being collected in September 2016. The retrospective chart review will collect data up until March of 2017 (six months after the last subject completed the prospective phase by attending their last SMA session).
Investigators
Eligibility Criteria
Inclusion Criteria
- •A diagnosis of Type 2 diabetes within the last year
- •A current patient at Duke Family Medicine.
- •An A1C score greater than 7 and less than 14.
Exclusion Criteria
- •A diagnosis of Pre-diabetes
- •A diagnosis of Type I diabetes
- •Individuals with amputations as a result of their diabetes are excluded form this study.
- •Individuals with renal dialysis will not be included in this study.
Outcomes
Primary Outcomes
Feasibility measured using a patient satisfaction survey
Time Frame: 12 months
Change in patient activation measured using the patient activation measure
Time Frame: baseline; 6 months; 12 months
Change in self-management of diabetes self-efficacy using the Diabetes Empowerment Scale
Time Frame: baseline; 6 months; 12 months
Change in diabetes self efficacy using the 1-item diabetes self-efficacy scale
Time Frame: baseline; 6 months; 12 months
Change in A1C using the A1C blood test
Time Frame: baseline; 3 months; 6 months; 9 months; 12 months
Secondary Outcomes
- Change in depression screening score using the Patient Health Questionnaire (PHQ-9)(baseline; 6 months; 12 months)
- Change in functional health and well-being using the short form health survey(baseline; 6 months; 12 months)
- Change in general self-rated health using the general self rated health survey (GSRH)(baseline; 6 months; 12 months)
- Change in health goal progress using a goal progress visual analog scale(3 months; 10 months)
- change in body mass index using weight and height measurements(baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months)
- change in blood pressure using blood pressure measurement(baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months)
- Change in low-density lipoprotein cholesterol (LDL) using LDL measurement(baseline; 6 months; 12 months)