Trial Outcomes & Findings for Chronic Care Management/Patient Relationship Management Proof of Concept (NCT NCT01182480)

Results Overview

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.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

47 participants

Primary outcome timeframe

3 months

Results posted on

2014-11-05

Participant Flow

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.

Exclusion criteria included a life expectancy less than six months, age \< 18 or \> 76, and either lacking possession of or inability to use a cell phone or glucometer.

Participant milestones

Participant milestones
Measure	Text Intervention Group of study participants who received the text message intervention over a 3-month period. Participants received text messages 7, 2, and 1 day(s) prior to each of their scheduled appointments as recorded in the Denver Health scheduling system, and also received text messages prompts 3 times per week asking them to provide fasting blood sugar readings.
Overall Study STARTED	47
Overall Study COMPLETED	47
Overall Study NOT COMPLETED	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chronic Care Management/Patient Relationship Management Proof of Concept

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Text Intervention n=47 Participants Group of study participants who received the text message intervention over a 3-month period.
Age, Categorical <=18 years	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	44 Participants n=5 Participants
Age, Categorical >=65 years	3 Participants n=5 Participants
Age, Continuous	50.29 years STANDARD_DEVIATION 11.24 • n=5 Participants
Sex: Female, Male Female	30 Participants n=5 Participants
Sex: Female, Male Male	17 Participants n=5 Participants
Region of Enrollment United States	47 participants n=5 Participants

PRIMARY outcome

Timeframe: 3 months

Population: Group of study participants who received the text message intervention over a 3-month period.

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.

Outcome measures

Outcome measures
Measure	Text Intervention n=47 Participants Group of study participants who received the text message intervention over a 3-month period.
Patient Engagement	68.14 text message response rate (percent)

SECONDARY outcome

Timeframe: 3 months

As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months

As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 3 months

Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.

Outcome measures

Outcome data not reported

Adverse Events

Text Intervention

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Andrew W. Steele, MD, MPH, MSc

Denver Health and Hospital Authority

Phone: 303-602-9773

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place