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Managing Diabetes to Gain Opportunities for a More Active Life

Sponsor:
Collaborators:
Information provided by (Responsible Party):
September 20, 2018
October 2, 2018
October 2, 2018
October 2018
February 2020   (Final data collection date for primary outcome measure)
Documentation of Diabetes Goal[ Time Frame: 1 year ]
Documentation of a personalized goal for diabetes care (e.g., A1C target) of diabetes care (yes or no).

Same as current
  • Patient selection of personalized goals[ Time Frame: 1 year ]
    Patients will receive a pre-and post-survey in which they will be asked if they have diabetes care goals. We will measure these goals over time.
  • Patient ability to reach personalized goals[ Time Frame: 1year ]
    Using EHR data, we will measure whether or not patients are reaching the goals they have documented in the survey.
 

Managing Diabetes to Gain Opportunities for a More Active Life

Managing Diabetes to Gain Opportunities for a More Active Life (My Diabetes GOAL)

The purpose of this novel patient-facing disease management intervention is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management.

The purpose of this novel patient-facing disease management intervention, My Diabetes GOAL, is to develop and test a system embedded within the electronic medical record to engage patients in personalized goal setting and chronic disease management by: 1) establishing personalized goals of care based on comorbidities and preferences, 2) tracking diabetes measures against personalized goals, and 3) selecting the route and intensity of care management to help patients achieve their goals (e.g., telephonic care management, in-person care management, and self-care resources). This application can be used to individualize care, increase engagement with patient portals, and improve patient self-efficacy, as they take a more active role in their care.
Interventional
N/A
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Supportive Care
  • Behavioral: My Diabetes Goal Survey and Optional Care Management
    The intervention is already described in the intervention arm description.
  • Experimental: Intervention
    Patients that are enrolled in the intervention arm will receive an email message via MyChart (University of Chicago patient portal) to complete an initial questionnaire. Completion of the questionnaire will be required prior to initiating risk factor tracking and opening the portal to requests for care management support. A study team member (diabetes nurse educator) will contact the patient, if requested via the survey, to initiate telephonic care management or links to additional support services. Upon completion the study, all patients will receive a post-survey via MyChart.
  • Active Comparator: Delayed Intervention/Control
    Patients enrolled in the delayed intervention arm will receive usual care for the first 6 months, and then will receive the survey and intervention as stated above.
 
Not yet recruiting
100
Same as current
June 2020
February 2020   (Final data collection date for primary outcome measure)
Inclusion Criteria: - 65 years and older - Diagnosis of Type 2 Diabetes - Enrolled in MyChart (University of Chicago Patient Portal) - Outpatient clinic visit in the prior year Exclusion Criteria: - Under 64 years of age - No type 2 diabetes - Not enrolled in MyChart - No outpatient clinic visit in the prior year
Sexes Eligible for Study: All
65 Years and older   (Adult, Older Adult)
No
 
 
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD:
University of Chicago
Principal Investigator: Elbert S Huang, MD University of Chicago
September 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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