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| Name | Class |
|---|---|
| Pacific Vision Foundation | OTHER |
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The overarching purpose of this project is to provide diabetes education to the diverse patient population at the Lions Eye Clinic, a resident-run ophthalmology practice at California Pacific Medical Center. Because of high clinic volume in a teaching environment, our patients often experience long wait times. The goal of this program is to utilize this wait time for diabetes education, a much-needed corollary to the eye care that patients receive at our clinic.
This pilot project will investigate the impact of a program like this in our patient population. Specifically, the investigators are investigating whether diabetes education delivered in an ophthalmology setting enhances patient understanding of diabetes (via knowledge surveys) and/or leads to improved blood glucose control (via hemoglobin A1c). This is a 6-month study that runs through April 2015, and looks at the impact of an interactive diabetes education iPad app +/- in-person sessions with a diabetes educator. A subset of patients who meet with a diabetes educator will also be shown their own retinal images (compared to a normal retina).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| iPad app | This group will have unlimited access to educational iPad app while waiting for ophthalmology visits. |
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| Educator sessions | This group will have unlimited access to educational iPad app AND at least one appointment with a certified diabetes educator or registered dietitian while waiting for ophthalmology visits. |
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| Educator sessions + retinal photos | This group will have same access as "iPad app + education sessions" and in addition will be able to briefly review their own retinal photos (compared to normal retina) with a resident ophthalmologist during timeline of pilot program. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iPad app | Behavioral | Provided by the Patient Education Institute, the "X-plain" iPad app includes modules on healthy eating for diabetics, eye complications, foot care, and others. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Patient Knowledge about Diabetes at 3 months (via multiple-choice surveys) | Objective assessment of patient knowledge about diabetes using 13 multiple-choice questions | Participants will be re-surveyed at their next follow-up eye appointment, an expected average of 3 months post-intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline Hemoglobin A1c at 3 months | Provides estimate of patient's average blood sugar over past three months | Participants will have repeat lab drawn at their next follow-up eye appointment, an expected average of 3 months post-intervention |
| Patient Satisfaction / Motivation / Subjective Improvement in Knowledge (brief surveys) |
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Inclusion Criteria:
Exclusion Criteria:
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The proposed subjects are diabetic patients already approved to be seen in the Lions Eye Clinic, specifically for dilated eye exam by a retinal specialist. This is a high-risk population with advanced disease and often with limited preexisting knowledge about diabetes, thus providing the motivation for these educational interventions.
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| Name | Affiliation | Role |
|---|---|---|
| Samuel J Reiter, MD | Resident Ophthalmologist, CPMC | Study Director |
| Taliva Martin, MD | CPMC Ophthalmologist, Residency Program Director | Principal Investigator |
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| ID | Term |
|---|---|
| D048909 | Diabetes Complications |
| D003930 | Diabetic Retinopathy |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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| Educator sessions | Behavioral | A certified diabetes educator and/or registered dietitian will meet with patients for 30-60 minutes prior to their ophthalmology visits, when scheduling permits. |
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| Retinal photos | Behavioral | A resident ophthalmologist will spend approximately 5 minutes showing patient their own retinal photos, compared to a normal retina, and explaining the pathology present (if applicable). |
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Brief 3-4 question surveys to assess patient satisfaction with services offered, motivation to manage their disease process, and subjective improvement in knowledge after using educational services |
| 1 day |
| Change from Baseline in Patient Knowledge about Diabetes Immediately after using Educational Services (via multiple-choice surveys) | Objective assessment of patient knowledge about diabetes using 13 multiple-choice questions | 1 day |
| D003925 |
| Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |