Patient Provider Partnership: Improving Diabetes Care in the Community

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00167284
Recruitment Status : Completed
First Posted : September 14, 2005
Last Update Posted : September 14, 2005
UPMC Office of Community Initiatives
Information provided by:
University of Pittsburgh

Brief Summary:

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.

Condition or disease Intervention/treatment
Diabetes Behavioral: physician and patient education; physician practice redesign

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 270 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Educational/Counseling/Training
Official Title: Patient Provider Partnership: Improving Diabetes Care in the Community
Study Start Date : October 2001
Estimated Study Completion Date : February 2005

Primary Outcome Measures :
  1. A1c
  2. Blood Pressure
  3. Lipids

Secondary Outcome Measures :
  1. Quality of Well Being
  2. Empowerment
  3. Physician attitudes
  4. Patient and physician barriers to diabetes care

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

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

Exclusion Criteria:

  • pregnancy, imprisonment

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 identifier (NCT number): NCT00167284

Sponsors and Collaborators
University of Pittsburgh
UPMC Office of Community Initiatives
Principal Investigator: Janice C Zgibor, PhD University of Pittsburgh Identifier: NCT00167284     History of Changes
Other Study ID Numbers: 010157
First Posted: September 14, 2005    Key Record Dates
Last Update Posted: September 14, 2005
Last Verified: September 2005

Keywords provided by University of Pittsburgh:
chronic care model, diabetes, community, diabetes education

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