Chronic Care Management/Patient Relationship Management Proof of Concept

NCT ID: NCT01182480

Last Updated: 2014-11-05

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 47 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-05-31
• Study Completion Date: 2011-05-31

Brief Summary

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.

Conditions

Diabetes Mellitus

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Interventions

Patient Relationship Management (PRM) Program

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.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• patients with diabetes
• receive care at a primary care clinic in the DH system
• between 18 and 76 years of age
• primary language of English or Spanish
• ownership of a qualifying cell phone (SMS text capable)
• ownership of a glucometer.

Exclusion Criteria

• life expectancy less than six months,
• do not have or cannot use a phone or glucometer
• do not want to participate

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 76 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Microsoft Corporation

INDUSTRY

Sponsor Role: collaborator

EMC Consulting

UNKNOWN

Sponsor Role: collaborator

Denver Health and Hospital Authority

OTHER

Sponsor Role: lead

Responsible Party

Andrew W. Steele, MD, MPH, MSc

Director, Medical Informatics

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Andrew W Steele, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Denver Health and Hospital Authority

Locations

Denver Health and Hospital Authority

Denver, Colorado, United States

Countries

United States

References

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.

Reference Type: RESULT

PMID: 22435883 (View on PubMed)

Other Identifiers

COMIRB 10-0257

Identifier Type: -

Identifier Source: org_study_id