The Effect of Patients' Participation in Improving Diabetes Care

Phase 3

Completed

• Conditions: Type 2 Diabetes Mellitus
• Interventions: Behavioral: physician feedback (A)

• Registration Number: NCT00533494
• Lead Sponsor: Soroka University Medical Center

Brief Summary

Despite the advent of efficacious medicines, there is a gap between ideal and actual care in the achievement of recommended outcomes among diabetic patients. The study enrolled 429 diabetic patients attending four HMO clinics in Israel, two in the northern region and two in the southern region. All clinics were randomly selected from all clinics affiliated with the Faculty of Health Sciences of the Ben Gurion University. The objective of the study was to compare the effects of a multi-component physician-patient intervention to physician feedback alone on a combined outcome of diabetes, blood pressure and serum lipids control. We hypothesized that in medical practices where physicians have received feedback on quality of care indicators, patients who received a letter encouraging them to discuss a list of important diabetes-related issues with their doctors, would experience better outcomes compared to patients who did no received such a letter.

Detailed Description

Not available

Study Timeline

• Study Start: 2000-01
• Status Verified: 2003-04
• Study Completion: 2003-09
• Study First Submitted: 2007-09-20
• Study First Submitted QC: 2007-09-20
• Study First Posted: 2007-09-21
• Last Update Submitted: 2007-11-11
• Last Update Posted: 2007-11-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Known diabetic patients enrolled in the four primary care clinics
• Age 30 years and older.

Exclusion Criteria

• Below age 30 years
• Type 1 diabetes
• Spoke neither Hebrew nor Russian
• Bedridden or confined to home.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
B	physician feedback (A)	Feedback to physicians + reminder letters to patients
A	physician feedback (A)	Feedback information to physicians

Primary Outcome Measures

Name	Time	Method
HbA1c, LDL, systolic blood pressure	Baseline and 1 year after 1-year intervention

Trial Locations

Locations (1)

Clalit Health Services; 🇮🇱 Beersheva, Afula, Migdal Haemek, Israel