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Patient Provider Partnership: Improving Diabetes Care in the Community

This study has been completed.
Sponsor:
Information provided by:
University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT00167284
First received: September 9, 2005
Last updated: NA
Last verified: September 2005
History: No changes posted

September 9, 2005
September 9, 2005
October 2001
Not Provided
  • A1c
  • Blood Pressure
  • Lipids
Same as current
No Changes Posted
  • Quality of Well Being
  • Empowerment
  • Physician attitudes
  • Patient and physician barriers to diabetes care
Same as current
Not Provided
Not Provided
 
Patient Provider Partnership: Improving Diabetes Care in the Community
Patient Provider Partnership: Improving Diabetes Care in the Community

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.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Educational/Counseling/Training
Diabetes
Behavioral: physician and patient education; physician practice redesign
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
270
February 2005
Not Provided

Inclusion Criteria:

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

Exclusion Criteria:

  • pregnancy, imprisonment
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Not Provided
 
NCT00167284
010157
Not Provided
Not Provided
University of Pittsburgh
Not Provided
Principal Investigator: Janice C Zgibor, PhD University of Pittsburgh
University of Pittsburgh
September 2005

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