Chronic Care Management/Patient Relationship Management Proof of Concept
This proof of concept study proposes to evaluate the feasibility of a communications-technology-based chronic care and patient relationship management program to improve diabetes self management among adult diabetic patients in an urban safety net population by providing between-visit reminders and chronic disease support through cell phone text messaging.
The investigators hypothesize that diabetic patients enrolled in the program will be less likely to miss scheduled appointments and will have greater perceived self-efficacy and improved patient satisfaction concerning chronic disease management. No-show rates among patients enrolled in the program are expected to be lower than among patients receiving standard care.
|Study Design:||Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
|Official Title:||Chronic Care Management/Patient Relationship Management Proof of Concept|
- Patient Engagement [ Time Frame: 3 months ]Patient engagement was assessed by patient text message response rates and average response times. Response rates were calculated as a percentage from the number of patient-initiated text messages sent in response to a system-generated request for information (the numerator) divided by the total number of system-generated requests for information (the denominator). Average response times were calculated from system-recorded time stamps for outbound requests sent and inbound patient-initiated responses received.
- Appointment Attendance [ Time Frame: 3 months ]As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups
- Perceived Self-efficacy [ Time Frame: 3 months ]As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention
- Glycemic Control [ Time Frame: 3 months ]Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.
|Study Start Date:||May 2010|
|Study Completion Date:||May 2011|
|Primary Completion Date:||March 2011 (Final data collection date for primary outcome measure)|
Behavioral: Patient Relationship Management (PRM) Program
- 7 days, 2 days, and 1 day before scheduled appointments. Messages will contain the date, time, and location where the appointment is scheduled. Patients will be prompted to respond with 'YES' if they are able to keep their appointment, and 'NO' if they need to reschedule. An acknowledgement of receipt will be sent in response to all patient-initiated messages.
- 3 days per week to request that patients respond with fasting blood sugar measurements. An acknowledgement of receipt will be sent in response to all patient-initiated messages.
Patients will be contacted through SMS text messaging under the following circumstances:
Please refer to this study by its ClinicalTrials.gov identifier: NCT01182480
|United States, Colorado|
|Denver Health and Hospital Authority|
|Denver, Colorado, United States, 80204|
|Principal Investigator:||Andrew W Steele, MD, MPH||Denver Health and Hospital Authority|