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| Name | Class |
|---|---|
| Microsoft Corporation | INDUSTRY |
| EMC Consulting | UNKNOWN |
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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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient Relationship Management (PRM) Program | Behavioral | Patients will be contacted through SMS text messaging under the following circumstances:
|
| Measure | Description | Time Frame |
|---|---|---|
| Patient Engagement | 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. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Appointment Attendance | As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups | 3 months |
| Perceived Self-efficacy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrew W Steele, MD, MPH | Denver Health and Hospital Authority | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Denver Health and Hospital Authority | Denver | Colorado | 80204 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22435883 | Result | Fischer HH, Moore SL, Ginosar D, Davidson AJ, Rice-Peterson CM, Durfee MJ, MacKenzie TD, Estacio RO, Steele AW. Care by cell phone: text messaging for chronic disease management. Am J Manag Care. 2012 Feb 1;18(2):e42-7. |
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Exclusion criteria included a life expectancy less than six months, age < 18 or > 76, and either lacking possession of or inability to use a cell phone or glucometer.
English and Spanish-speaking adult patients (18-76 years old) with diabetes in possession of cell phones who receive primary care at Sam Sandos Westside Family Health Center (Westside), a federally qualified community health center in the Denver Health integrated healthcare system in Denver, CO.
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| ID | Title | Description |
|---|---|---|
| FG000 | Text Intervention | Group of study participants who received the text message intervention over a 3-month period. Participants received text messages 7, 2, and 1 day(s) prior to each of their scheduled appointments as recorded in the Denver Health scheduling system, and also received text messages prompts 3 times per week asking them to provide fasting blood sugar readings. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Text Intervention | Group of study participants who received the text message intervention over a 3-month period. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Patient Engagement | 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. | Group of study participants who received the text message intervention over a 3-month period. | Posted | Number | text message response rate (percent) | 3 months |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Text Intervention | Group of study participants who received the text message intervention over a 3-month period. |
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Insufficient power (# appointments) to detect changes in attendance rates; technical issues with self-efficacy data resulting in inability to compare pre- and post- intervention; intervention period insufficient to assess impact on glycemic control.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Andrew W. Steele, MD, MPH, MSc | Denver Health and Hospital Authority | 303-602-9773 | andy.steele@dhha.org |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention
| 3 months |
| Glycemic Control | Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record. | 3 months |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Units | Counts |
|---|---|
| Participants |
|
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| Secondary | Appointment Attendance | As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups | Not Posted | 3 months |
| Secondary | Perceived Self-efficacy | As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention | Not Posted | 3 months |
| Secondary | Glycemic Control | Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record. | Not Posted | 3 months |
| 0 |
| 47 |
| 0 |
| 47 |
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