Comparison of Outreach Methods to Encourage Enrollment in Diabetes Prevention and Weight Management Programs

Not Applicable

Completed

• Conditions: PreDiabetes; Obesity
• Interventions: Other: EHR gaps; Other: Bulk outreach; Other: Dietician call

• Registration Number: NCT03200535
• Lead Sponsor: Kaiser Permanente

Brief Summary

Individuals with prediabetes are at increased risk for developing diabetes. Higher hemoglobin A1c's (6.1-6.4%) are associated with a high risk of developing diabetes. It is known that programs such weight management classes and one-on-one counseling with registered dieticians can lead to weight loss and decrease the risk of diabetes. However, engagement of Kaiser Permanente Colorado members in these activities is low. The purpose of this study is to determine which of three outreach methods is most effective in increasing engagement in these activities.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-06-23
• Study First Submitted QC: 2017-06-23
• Study Start: 2017-06-26
• Study First Posted: 2017-06-27
• Primary Completion: 2017-11-10
• Study Completion: 2017-11-10
• Results First Submitted: 2018-08-28
• Status Verified: 2019-11
• Results First Submitted QC: 2019-11-21
• Last Update Submitted: 2019-11-21
• Results First Posted: 2019-12-13
• Last Update Posted: 2019-12-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 6588

Inclusion Criteria

• Kaiser Permanente Member
• Age 18-75
• Prediabetes
• BMI >= 25
• A1c 6.1-6.4%
• No dietitian visit within the past 3 years

Exclusion Criteria

• Pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Electronic health record "gaps"	EHR gaps	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient
Personalized outreach	EHR gaps	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent and patients will receive a personalized call by a registered dietitian
Bulk outreach	EHR gaps	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent
Bulk outreach	Bulk outreach	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent
Personalized outreach	Bulk outreach	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent and patients will receive a personalized call by a registered dietitian
Personalized outreach	Dietician call	Gaps will appear in the electronic health record and patient portal in order to prompt referral by provider or patient; in addition a bulk letter or email will be sent and patients will receive a personalized call by a registered dietitian

Primary Outcome Measures

Name	Time	Method
Enrollment in Diabetes Prevention or Weight Management Class (Online)	4.5 months (6/26/2017-11/10/2017)	Percent of individuals who have enrolled in online diabetes prevention or weight management classes (online) over a 4.5 month period

Secondary Outcome Measures

Name	Time	Method
Enrollment in Diabetes Prevention or Weight Management Class (in Person)	4.5 months (6/26/2017-11/10/2017)	Percent of individuals who have enrolled in diabetes prevention or weight management class (in person) over a 4.5 month follow-up period

Trial Locations

Locations (1)

Kaiser Permanente Coloado; 🇺🇸 Denver, Colorado, United States