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The primary aim of this study is to examine the feasibility of implementing an evidence based patient engagement strategy, known as personalized health planning (PHP), in the context of a a shared medical appointment (SMA) for individuals with type II diabetes in a primary care setting.
All data for the prospective portion of this study was done being collected in September 2016. The retrospective chart review will collect data up until March of 2017 (six months after the last subject completed the prospective phase by attending their last SMA session).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Shared Medical Appointment | No Intervention | The SMA group will be a standard shared diabetes medical appointment group consisting of up to 10 patients that utilizes the design and curriculum of the SMAs that are currently being held at the Duke Family Medicine Center. | |
| Personalized Health Planning Shared Medical Appointment | Experimental | The PHP SMA group will combine personalized health planning with a modified version of the standard shared diabetes medical appointment. Modifications include: a self-assessment of health status, greater emphasis on a collaborative patient-provider health goal-setting process, a plan to meet goals, a mindfulness practice included in each session, and the creation of a 'personalized health plan' participant notebook for each individual to document health goals and track progress to review at each session. The participant notebook also includes educational handouts and worksheets to complement the educational curriculum. |
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| Retrospective | No Intervention | A retrospective chart review will be conducted once all participants (both SMA group and PHP SMA group) complete the intervention. The retrospective chart review will collect healthcare utilization data six months prior, during, and after each subject's participation in the SMA. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Personalized Health Planning Shared Medical Appointment | Behavioral | The PHP SMA group will combine personalized health planning with a modified version of the standard shared diabetes medical appointment. Modifications include: a self-assessment of health status, greater emphasis on a collaborative patient-provider health goal-setting process, a plan to meet goals, a mindfulness practice included in each session, and the creation of a 'personalized health plan' participant notebook for each individual to document health goals and track progress to review at each session. The participant notebook also includes educational handouts and worksheets to complement the educational curriculum |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility measured using a patient satisfaction survey | 12 months | |
| Change in patient activation measured using the patient activation measure | baseline; 6 months; 12 months | |
| Change in self-management of diabetes self-efficacy using the Diabetes Empowerment Scale | baseline; 6 months; 12 months | |
| Change in diabetes self efficacy using the 1-item diabetes self-efficacy scale | baseline; 6 months; 12 months | |
| Change in A1C using the A1C blood test | baseline; 3 months; 6 months; 9 months; 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in depression screening score using the Patient Health Questionnaire (PHQ-9) | baseline; 6 months; 12 months | |
| Change in functional health and well-being using the short form health survey | baseline; 6 months; 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sharon Hull, MD MPH | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Duke Family Medicine Center | Durham | North Carolina | 27705 | United States |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Change in general self-rated health using the general self rated health survey (GSRH) | baseline; 6 months; 12 months |
| Change in health goal progress using a goal progress visual analog scale | 3 months; 10 months |
| change in body mass index using weight and height measurements | baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months |
| change in blood pressure using blood pressure measurement | baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months |
| Change in low-density lipoprotein cholesterol (LDL) using LDL measurement | baseline; 6 months; 12 months |
| D004700 | Endocrine System Diseases |