Diabetic Retina Exam Rate Does Not Increase With Phone Reminders in Non-HMO Population

NCT ID: NCT00799695

Last Updated: 2008-12-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

561 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2008-11-30

Brief Summary

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Diabetic retinopathy is the major cause of blindness in working age Americans, and screening for it is cost-effective. There are a quarter of a million people in Southeast Michigan with diabetes and pre-diabetes.

Only half of patients with diabetes are screened regularly for diabetic retinopathy, and this proportion has been difficult to increase despite various interventions. Previous research focused on HMO patient groups because preventative care was thought to decrease plan costs. In addition, it was administratively feasible to track patient-doctor interactions.

This project builds on published research and institutional experience to determine an effective method for increasing the screening rate, in a mobile, non-HMO population. It uses administrative methods and information technology infrastructures, such as large scale electronic medical records and patient demographic databases, to identify existing patients requiring examinations.

Patients were telephoned by a trained service representative who offered and scheduled firm examination appointment times.

Hypothesis: Annual screening rates for diabetic retinopathy can be substantially improved in non-HMO patient groups by directly contacting patients and scheduling firm appointment times.

Detailed Description

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Conditions

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Diabetic Retinopathy

Keywords

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diabetic retinopathy screening annual

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Interventions

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phone call contact

A sample of subjects who had not completed their annual diabetic screening exams were contacted by phone and offered appointments for eye exams

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* were Henry Ford Health System patients,
* diabetic
* using the BCBSM payer plan

Exclusion Criteria

* retina examination in prior year
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Blue Cross Blue Shield of Michigan Foundation

OTHER

Sponsor Role collaborator

Henry Ford Health System

OTHER

Sponsor Role lead

Responsible Party

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Henry Ford Health System

Principal Investigators

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Robert M Levine,, MD

Role: PRINCIPAL_INVESTIGATOR

Henry Ford Health System

Locations

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Henry Ford Health System

Detroit, Michigan, United States

Site Status

Countries

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United States

Other Identifiers

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F10030

Identifier Type: -

Identifier Source: secondary_id

13.13PIRAP

Identifier Type: -

Identifier Source: secondary_id

F10030

Identifier Type: -

Identifier Source: org_study_id