Simulated Diabetes Training for Resident Physicians (SDT)
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|ClinicalTrials.gov Identifier: NCT00979823|
Recruitment Status : Completed
First Posted : September 18, 2009
Last Update Posted : December 3, 2014
The objective of this translational research is to study the effect of implementing an innovative simulated diabetes learning intervention within primary care residency programs. The intervention uses cognitive behavioral learning theory to provide goal-directed feedback to residents after every encounter over a series of virtual patient-physician encounters. Formulas derived from pharmacokinetic data and the experience of clinical experts model simulated physiologic responses to drug changes, health behaviors, and adherence factors. The online intervention is economical, sustainable, and addresses a number of current obstacles to outpatient diabetes training in primary care residency programs.
In this group trial, we randomly assign about 20 primary care residency programs with up to 700 residents total to either an (a) Early learning program group or (b) Delayed learning program group. We will assess the ability of residents to achieve evidence-based diabetes clinical goals and avoid potential medical safety issues for glycemia, blood pressure, and lipids on simulated assessment cases. Secondary analyses will evaluate the actual use of the tool by residents, direct costs of the program, and resident satisfaction.
|Condition or disease||Intervention/treatment||Phase|
|Type 2 Diabetes||Other: Early SimCare Diabetes Group Other: Delayed SimCare Diabetes Group||Not Applicable|
Specific aim 1: To examine the impact of a simulated case-based learning intervention on measures of quality of diabetes care delivered by primary care residents to simulated adult patients with diabetes mellitus.
Hypothesis 1: Compared to delayed SimCare Diabetes learning program group residents, those residents in the early SimCare Diabetes learning program group will treat a higher proportion of simulated patients to evidence based diabetes goals including glycemic control (A1c < 7%), blood pressure control (BP < 130/80 mm Hg), and lipid control (evidence-based LDL, Triglyceride, and HDL levels).
Specific aim 2: To examine the impact of a simulated case-based learning intervention on rates of appropriate drug intensification and number of risky prescribing events in the management of simulated adult patients with diabetes mellitus.
Hypothesis 2: Compared to delayed SimCare Diabetes learning program group residents, those residents in the early SimCare Diabetes learning program group will have improved rates of appropriate drug intensification in simulated assessment cases.
Hypothesis 3: Compared to delayed SimCare Diabetes learning program group residents, those residents in the early SimCare Diabetes learning program group will have a lower number of risky prescribing events in simulated assessment cases.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||341 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Simulated Diabetes Training for Resident Physicians|
|Study Start Date :||September 2010|
|Actual Primary Completion Date :||July 2012|
|Actual Study Completion Date :||July 2013|
Experimental: Early SimCare Diabetes Group
This group will receive an email web-link to 3 simulated learning cases each month for 6 months. After 6 months (18 total learning cases), they will then complete 4 simulated assessment cases, a diabetes knowledge survey, and a satisfaction survey.
Other: Early SimCare Diabetes Group
Residents in the early learning program group will participate in the learning cases before undergoing a knowledge and performance assessment. They will complete 18 learning cases, 4 assessment cases, knowledge survey, and a satisfaction survey.
Active Comparator: Delayed SimCare Diabetes Group
Beginning in the spring of 2011, residents in this group will receive an email web-link to complete 4 simulated assessment cases and a diabetes knowledge survey. They will subsequently be sent 3 learning cases a month for 6 months and a satisfaction survey to complete.
Other: Delayed SimCare Diabetes Group
Residents in the delayed learning program group will receive their usual diabetes training through their residency program for 8 months before completing the knowledge and performance assessment, and then will subsequently be offered the learning program. They will receive 4 assessment cases, knowledge survey, and satisfaction survey
- Treatment according to evidence-based diabetes goals [ Time Frame: September 2010 - July 2013 ]
- Drug intensification [ Time Frame: September 2010 - July 2013 ]
- Number of risky prescribing events [ Time Frame: September 2010 - July 2013 ]
- Secondary analyses will evaluate the actual use of the tool by residents, direct costs of the program, and resident satisfaction. [ Time Frame: July 2011 - January 2013 ]
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): NCT00979823
|United States, Minnesota|
|HealthPartners Research Foundation|
|Minneapolis, Minnesota, United States, 55440|
|Principal Investigator:||JoAnn M Sperl-Hillen, MD||HealthPartners Institute|