Expanding Comparative Effectiveness Research (CER) Capability Through Complex Patient Relationship Management

Study Overview
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Brief Summary
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The investigators are testing whether patients with diabetes can communicate with our health care system through text messaging. The investigators will look at how often they respond to prompts for blood pressures, blood sugars, and step counts. The investigators will also see if they come in for lab tests when prompted by text message. Also, for patients overdue for medication refills, the investigators will ask them why they have not yet called for the refill.

Detailed Description
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Patients will be sent text messages through a software interface, the Patient Relationship Manager (PRM). A registered nurse will also use PRM to receive incoming responses. Tasks will be created for her to outreach to patients who have out of range text responses or poor response rates. This intervention if a feasibility study to see if patients can communicate with the investigator's health care system and potentially utilize PRM to better manage their diabetes.

Official Title
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Expanding Comparative Effectiveness Research (CER) Capability Through Complex Patient Relationship Management

Conditions
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Diabetes, Hyperlipidemia

Intervention / Treatment
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* Other: Text Message prompts


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age 18-75 years diabetes own a cell phone 2 primary care visits in last year English or Spanish speaking Exclusion Criteria: End-stage disease with estimate of less than 6 months to live

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: text message recipients<br>Patients will be recruited to receive text messages | Other: Text Message prompts<br>* In this single armed intervention, patients will receive text message prompts<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| response rate to home monitoring prompts | resonse rate to blood pressure, blood sugar, and step count prompts | 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| response rate to prompt for lab text by text message | response rate to prompt for lab text by text message | 4 months | 
| response to barrier questions for non-adherence | We will analyze the responses to text message prompts in patients late for picking up medications. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Text, SMS, diabetes, self-monitoring, self-management, adherence