Patient Provider Partnership: Improving Diabetes Care in the Community

Study Overview
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Brief Summary
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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.

Official Title
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Patient Provider Partnership: Improving Diabetes Care in the Community

Conditions
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Diabetes

Intervention / Treatment
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* Behavioral: physician and patient education; physician practice redesign


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over age 18, diagnosed diabetes, physician is participating in study Exclusion Criteria: pregnancy, imprisonment

Ages Eligible for Study
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Minimum Age: 18 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: Educational/Counseling/Training
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: physician and patient education; physician practice redesign|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| A1c |  |  | 
| Blood Pressure |  |  | 
| Lipids |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Well Being |  |  | 
| Empowerment |  |  | 
| Physician attitudes |  |  | 
| Patient and physician barriers to diabetes care |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic care model, diabetes, community, diabetes education