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Improving Diabetes Care Collaboratively in the Community

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ClinicalTrials.gov Identifier: NCT00359996
Recruitment Status : Completed
First Posted : August 3, 2006
Last Update Posted : April 12, 2016
Sponsor:
Collaborators:
Agency for Healthcare Research and Quality (AHRQ)
Robert Wood Johnson Foundation
Information provided by (Responsible Party):
University of Chicago

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Diabetes Behavioral: health disparities collaborative Other: No additional educational sessions Not Applicable

Detailed Description:
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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 6993 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Improving Diabetes Care Collaboratively in the Community
Study Start Date : June 2000
Actual Primary Completion Date : August 2006
Actual Study Completion Date : August 2006

Arm Intervention/treatment
Active Comparator: Health disparities collaborative
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
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.

Active Comparator: Control
No additional educational sessions added to usual care of patients.
Other: No additional educational sessions



Primary Outcome Measures :
  1. hemoglobin A1c [ Time Frame: 4 years ]
    Change in hemoglobin A1c from baseline


Secondary Outcome Measures :
  1. Lipid levels [ Time Frame: 4 years ]
    Change in Lipid blood levels from baseline

  2. Blood pressure [ Time Frame: 4 years ]
    Change in BP from baseline

  3. Urine microalbumin levels [ Time Frame: 4 years ]
    Change in urine micralbumin levels from baseline



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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

- patients with diabetes age 18-75 years

Exclusion Criteria:

Pregnant women


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00359996


Locations
United States, Illinois
The University of Chicago
Chicago, Illinois, United States, 60637
Sponsors and Collaborators
University of Chicago
Agency for Healthcare Research and Quality (AHRQ)
Robert Wood Johnson Foundation
Investigators
Principal Investigator: Marshall H Chin, MD, MPH University of Chicago

Publications of Results:
Responsible Party: University of Chicago
ClinicalTrials.gov Identifier: NCT00359996     History of Changes
Other Study ID Numbers: 9886 (AHRQ R01 HS10479)
First Posted: August 3, 2006    Key Record Dates
Last Update Posted: April 12, 2016
Last Verified: April 2016

Keywords provided by University of Chicago:
diabetes
quality improvement
community health center
health disparities

Additional relevant MeSH terms:
Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases