Patient Provider Partnership: Improving Diabetes Care in the Community

• Sponsor: University of Pittsburgh (Other)
• Overall Status: Completed
• CT.gov ID: NCT00167284
• Collaborator: UPMC Office of Community Initiatives (Other)
• Enrollment: 270
• Duration (Months): 40

Study Details

Study Description

Brief Summary

With the advent of managed care, increasing responsibility for the care of patients with diabetes is being placed on primary care physicians. Evidence exists that physicians are not meeting established practice guidelines, and outcomes in patients with diabetes are less than optimal. It is thus the objective of this study to institute a community-based diabetes education intervention for both physicians and patients to enhance adherence to guidelines and improve patient outcomes.

We will conduct a chart review (submitted under a separate IRB: #000733) in primary care practices to determine health status and guideline adherence. Following the chart review, physician practices will be assigned to one of three groups: physician + patient education, physician education alone, and usual care. Following the intervention, a repeat chart review will be conducted. Pre and posttest comparisons will be conducted to examine changes primarily in glycemic control, quality of life, patient knowledge, and physician adherence to practice guidelines. Secondarily, we will examine changes in therapeutic intervention, body mass index, and barriers to diabetes care. We will also examine individual barriers to diabetes care and their influence on outcomes in this population. The last phase of the study will encompass a second follow-up visit in which we will examine behavioral factors related to clinical change and sustainability of the intervention.

Condition or Disease	Intervention/Treatment	Phase
Diabetes	Behavioral: physician and patient education; physician practice redesign	N/A

Study Design

• Study Type: Interventional
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Educational/Counseling/Training
• Official Title: Patient Provider Partnership: Improving Diabetes Care in the Community
• Study Start Date: Oct 1, 2001
• Study Completion Date: Feb 1, 2005

Outcome Measures

Primary Outcome Measures

1. A1c []

2. Blood Pressure []

3. Lipids []

Secondary Outcome Measures

1. Quality of Well Being []

2. Empowerment []

3. Physician attitudes []

4. Patient and physician barriers to diabetes care []

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Inclusion Criteria:

• over age 18, diagnosed diabetes, physician is participating in study

Exclusion Criteria:

• pregnancy, imprisonment

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

• University of Pittsburgh
• UPMC Office of Community Initiatives

Investigators

• Principal Investigator: Janice C Zgibor, PhD, University of Pittsburgh

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• ClinicalTrials.gov Identifier: NCT00167284
• Other Study ID Numbers: 010157
• First Posted: Sep 14, 2005
• Last Update Posted: Sep 14, 2005
• Last Verified: Sep 1, 2005

• Keywords provided by , ,: chronic care model, diabetes, community, diabetes education
• Additional relevant MeSH terms: Diabetes Mellitus

Study Results

No Results Posted as of Sep 14, 2005