Improving Diabetes Care Collaboratively in the Community

Study Overview
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Brief Summary
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The purpose of this study is to determine whether a quality improvement intervention including rapid quality improvement, a chronic care model, and best practices improves diabetes care in community health centers and whether more intensive interventions enhance care further.

Detailed Description
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In 1998 the Health Resources and Services Administration's Bureau of Primary Health Care began the Health Disparities Collaborative (HDC) to improve chronic disease management in community health centers (HC) nationwide. The HDC incorporates rapid quality improvement (QI), a chronic care model, and best practices. This study determines if the HDC improves diabetes care and whether more intensive interventions with additional learning sessions for health centers, provider training in behavioral change, and patient empowerment materials enhance care further.

Official Title
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Improving Diabetes Care Collaboratively in the Community

Conditions
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Diabetes

Intervention / Treatment
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* Behavioral: health disparities collaborative
* Other: No additional educational sessions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - patients with diabetes age 18-75 years Exclusion Criteria: Pregnant women -

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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Health disparities collaborative<br>The HDC incorporates rapid quality improvement (QI), a chronic care model, and best practices. This study determines if the HDC improves diabetes care and whether more intensive interventions with additional learning sessions for health centers, provider training in behavioral change, and patient empowerment materials enhance care further. | Behavioral: health disparities collaborative<br>* The HDC incorporates rapid quality improvement (QI), a chronic care model, and best practices. This study determines if the HDC improves diabetes care and whether more intensive interventions with additional learning sessions for health centers, provider training in behavioral change, and patient empowerment materials enhance care further.<br>|
| Active Comparator: Control<br>No additional educational sessions added to usual care of patients. | Other: No additional educational sessions<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| hemoglobin A1c | Change in hemoglobin A1c from baseline | 4 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Lipid levels | Change in Lipid blood levels from baseline | 4 years | 
| Blood pressure | Change in BP from baseline | 4 years | 
| Urine microalbumin levels | Change in urine micralbumin levels from baseline | 4 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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diabetes, quality improvement, community health center, health disparities