An interventional study of Patient Relationship Management (PRM) Program in Diabetes Mellitus, sponsored by Denver Health and Hospital Authority. Completed at 1 site in United States. Open to participants aged 18 Years to 76 Years. Per ClinicalTrials.gov, last updated 2014-11-05.
Sponsored by Denver Health and Hospital Authority · Not applicable, Interventional, and Health services research
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.
10,925 studies on the registry are indexed under Diabetes Mellitus; 1,319 are open to participants now.
This study's enrollment of 47 is below the median of 80 across 8,367 interventional studies indexed under Diabetes Mellitus.
Browse Diabetes Mellitus studies →Denver Health and Hospital Authority is the lead sponsor of 84 studies on the registry; 4 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 8 (89%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Patients will be contacted through SMS text messaging under the following circumstances: * 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.
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.
Time frame: 3 months
Appointment Attendance
As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups
Time frame: 3 months
Perceived Self-efficacy
As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention
Time frame: 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.
Time frame: 3 months
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.
| Milestone | Text Intervention |
|---|---|
| Started | 47 |
| Completed | 47 |
| Not completed | 0 |
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.
| text message response rate (percent) | Text Intervention |
|---|---|
| Patient Engagement | 68.14 |
As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups
Results for this outcome have not been posted.
As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention
Results for this outcome have not been posted.
Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.
Results for this outcome have not been posted.
Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Text Intervention | — | 0/47 (0%) | 0/47 (0%) |
| Age, Categorical(Participants) | Text Intervention |
|---|---|
| <=18 years | 0 |
| Between 18 and 65 years | 44 |
| >=65 years | 3 |
| Age, Continuous(years) | Text Intervention |
|---|---|
| Mean | 50.29 ± 11.24 |
| Sex: Female, Male(Participants) | Text Intervention |
|---|---|
| Female | 30 |
| Male | 17 |
| Region of Enrollment(participants) | Text Intervention |
|---|---|
| United States | 47 |
This study is completed, as verified in Oct 2014. You cannot join it, but the record below documents what was studied.
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Denver Health and Hospital Authority