MedPath

Electronic Frailty Index (eFI)Cacious-Diabetes Care

Not Applicable
Active, not recruiting
Conditions
Type2 Diabetes
Diabetes
Interventions
Behavioral: Pharmacist-Led Optimization Intervention
Registration Number
NCT05047237
Lead Sponsor
Wake Forest University Health Sciences
Brief Summary

The purpose of this research is to explore whether a pharmacist-led diabetes management program can help optimize diabetes care for older adults. Participation in this study will involve meeting with a pharmacist who works with subjects' doctors, getting some routine bloodwork typical for people with diabetes, and potentially adjusting the subject's diabetes medications to reach American Diabetes Association guidelines. This study aims to bring older adults with diabetes whose measurements and medications are different from the guidelines of the American Diabetes Association into guidelines-based ranges.

Detailed Description

This study is a pragmatic pilot study assessing the feasibility and acceptability, and preliminary impact of a pharmacist-led care pathway to align patient care with guidelines for type 2 diabetes mellitus (T2DM) management in frail older adults, leveraging existing resources and pathways of care led by Clinical Prescribing Pharmacists. Eligible participants will be identified from the Electronic Health Record (EHR). Research staff will then approach the primary care physicians for identified patients to confirm that patients are appropriate for the intervention, as determined by the primary care physician (PCP). Patients will then be contacted both by letter and phone call, and invited to participate in the pharmacist-led pathway. Telephonic informed consent will be obtained. Outcomes for all participants will be accessed passively via the EHR. The study team hypothesizes that patients who go through the pharmacist-led primary care intervention will be more likely to have guideline-concordant medical therapy as compared with an EHR-based control group. Also, the study team believes that the intervention will reach at least 50% of those referred by their physicians to participate, the median number of outpatient visits will be three or less, and that the intervention will require a total of \<3 hours for pharmacists and patients across the 3-month intervention period. In addition, the study team expects patients, physicians, and pharmacists will report the intervention is feasible, acceptable, appropriate, and high-value. Lastly, the study team believes that the intervention group will have a lower mortality than the comparison group.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Attributed to a Atrium Health Wake Forest Baptist-affiliated Accountable Care Organization
  • At least 2 consecutive International Classification of Diseases 10th Revision (ICD-10) codes for type two diabetes mellitus in the prior 2 years
  • Has a calculable Electronic Frailty Index (eFI) score >0.21
  • A glycosylated hemoglobin (HbA1c) value <7.5% in the prior 2 years
  • Currently taking a sulfonylurea or insulin for Type 2 Diabetes Mellitus (T2DM)
Exclusion Criteria
  • Moderate to severe hearing loss (due to phone interventions)
  • Diagnosed Alzheimer's disease or related dementia (unable to participate)
  • Non-English speaking (not all pharmacists speak a second language; subtleties may not be conveyed effectively)
  • No phone number available for patient (follow up contacts will be by telehealth or phone

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Active InterventionPharmacist-Led Optimization InterventionSubjects are mailed Information about Type 2 Diabetes Mellitus (T2DM) Guidelines and Appointment Information (Face to face \[F2F\] or Telehealth). They attend up to 3 pharmacist visits, depending on if they reach target glucose levels. And they attend interviews. They also have month 6 follow up.
Primary Outcome Measures
NameTimeMethod
Random Glucose MeasurementsFrom Baseline through Month 12

The study team will track any glucose measurements obtained between initial enrollment and 6-12 months follow up after completion of the intervention, up until a total of 12 months after initial enrollment. This will be reported as a glucose trajectory.

Feasibility Measures: Effort Required to Enroll-Average Call DurationMonth 6

Duration of calls to enroll in minutes.

Estimated Change in Out-of-Pocket CostsFrom Baseline through Month 6

Change in diabetes medication cost

Point estimates of Feasibility Measures: Participation/ReachMonth 6

The proportion of those referred who chose to participate

Point estimates of Feasibility Measure-Number of VisitsMonth 12

Mean and median number of visits with the pharmacist before glucose levels are met.

Proportion of subjects who Achieve Glycosylated Hemoglobin (HbA1c) valuesMonth 6

Proportion of subjects who achieve target value of HbA1c \>7.5%

Point estimates of Feasibility Measures: Number Contacted/ReachMonth 6

Total number of subjects contacted

Point estimates of Feasibility Measures: Number at Risk/ReachMonth 6

Total number of patients who meet inclusion/exclusion criteria at each site

Feasibility Measures: Effort Required to Enroll-Number CallsMonth 6

Number of calls to enroll

Point estimates of Feasibility Measures: TimeMonth 12

Time until achieved medication goal per patient will be reported. An achieved medication goal is the following: HbA1c \<8 while taking no sulfonylurea or insulin, or HbA1c between 7.5-8 on sulfonylurea or insulin (these would both meet guidelines-based care.

Change in HbA1cFrom Baseline through Month 6
Secondary Outcome Measures
NameTimeMethod
Rate of Emergency Department Visits and HospitalizationsBaseline through Month 18

Using EHR and Patient Ping, the number of contacts with the Emergency Department (ED) and hospitals (composite)

Number of Hypoglycemic Events Requiring Medical AssistanceTime Frame: Baseline through Month 18

Events defined as per action to control cardiovascular risk in diabetes (ACCORD) trial, as hypoglycemic episodes requiring hospitalization or care in an emergency department.

Implementation Metric- ValueBaseline through Month 18

Three questions will be coded and analyzed through qualitative analysis. The study team will code comments by hand using content analysis and grounded theory.

MortalityBaseline through Month 18

Number of people who die as found in EHR and North Carolina (NC) death registry

Implementation Metric-- AcceptabilityBaseline through Month 18

This is a questionnaire that helps determine acceptability of the intervention. Score ranges from 4-20, with a higher score meaning the participant feels the intervention is more acceptable.

Number of Injurious FallsBaseline through Month 18

Identified by International Classification of Diseases-10th Revision (ICD-10) diagnostic codes; defined as per systolic blood pressure intervention trial (SPRINT) as falls requiring hospitalization or care in an emergency department.

Implementation Metric--FeasibilityBaseline through Month 18

Feasibility (FIM): This is a questionnaire that helps determine feasibility of the intervention. Score ranges from 4-20, with a higher score meaning the participant feels the intervention is more feasible.

Implementation Metric-- AppropriatenessBaseline through Month 18

This is a questionnaire that helps determine appropriateness of the intervention. Score ranges from 4-20, with a higher score meaning the participant feels the intervention is more appropriate.

Trial Locations

Locations (1)

Atrium Health Wake Forest Baptist Health

🇺🇸

Winston-Salem, North Carolina, United States

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