A Pilot Project to Assess the Impact of Diabetes Education During Ophthalmology Visits

NCT ID: NCT02334137

Last Updated: 2016-07-27

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 36 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2014-11-30
• Study Completion Date: 2015-12-31

Brief Summary

The overarching purpose of this project is to provide diabetes education to the diverse patient population at the Lions Eye Clinic, a resident-run ophthalmology practice at California Pacific Medical Center. Because of high clinic volume in a teaching environment, our patients often experience long wait times. The goal of this program is to utilize this wait time for diabetes education, a much-needed corollary to the eye care that patients receive at our clinic.

This pilot project will investigate the impact of a program like this in our patient population. Specifically, the investigators are investigating whether diabetes education delivered in an ophthalmology setting enhances patient understanding of diabetes (via knowledge surveys) and/or leads to improved blood glucose control (via hemoglobin A1c). This is a 6-month study that runs through April 2015, and looks at the impact of an interactive diabetes education iPad app +/- in-person sessions with a diabetes educator. A subset of patients who meet with a diabetes educator will also be shown their own retinal images (compared to a normal retina).

Conditions

Diabetes Complications; Diabetic Retinopathy

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

iPad app

This group will have unlimited access to educational iPad app while waiting for ophthalmology visits.

iPad app

Intervention Type: BEHAVIORAL

Provided by the Patient Education Institute, the "X-plain" iPad app includes modules on healthy eating for diabetics, eye complications, foot care, and others.

Educator sessions

This group will have unlimited access to educational iPad app AND at least one appointment with a certified diabetes educator or registered dietitian while waiting for ophthalmology visits.

iPad app

Intervention Type: BEHAVIORAL

Provided by the Patient Education Institute, the "X-plain" iPad app includes modules on healthy eating for diabetics, eye complications, foot care, and others.

Educator sessions

Intervention Type: BEHAVIORAL

A certified diabetes educator and/or registered dietitian will meet with patients for 30-60 minutes prior to their ophthalmology visits, when scheduling permits.

Educator sessions + retinal photos

This group will have same access as "iPad app + education sessions" and in addition will be able to briefly review their own retinal photos (compared to normal retina) with a resident ophthalmologist during timeline of pilot program.

iPad app

Intervention Type: BEHAVIORAL

Provided by the Patient Education Institute, the "X-plain" iPad app includes modules on healthy eating for diabetics, eye complications, foot care, and others.

Educator sessions

Intervention Type: BEHAVIORAL

A certified diabetes educator and/or registered dietitian will meet with patients for 30-60 minutes prior to their ophthalmology visits, when scheduling permits.

Retinal photos

Intervention Type: BEHAVIORAL

A resident ophthalmologist will spend approximately 5 minutes showing patient their own retinal photos, compared to a normal retina, and explaining the pathology present (if applicable).

Interventions

iPad app

Provided by the Patient Education Institute, the "X-plain" iPad app includes modules on healthy eating for diabetics, eye complications, foot care, and others.

Intervention Type: BEHAVIORAL

Educator sessions

A certified diabetes educator and/or registered dietitian will meet with patients for 30-60 minutes prior to their ophthalmology visits, when scheduling permits.

Intervention Type: BEHAVIORAL

Retinal photos

A resident ophthalmologist will spend approximately 5 minutes showing patient their own retinal photos, compared to a normal retina, and explaining the pathology present (if applicable).

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Type 1 or Type 2 diabetes (as defined by evident systemic findings OR recent hemoglobin A1c OR patient report, as specific blood sugar data and knowledge of particular medications are often limited in this population)
• Age 18-75
• Able and willing to provide informed consent
• Speak English, Spanish, or any other language for which a translator is present

Exclusion Criteria

• Advanced visual acuity loss in both eyes which prevents adequate use of educational tools
• Pregnant women, elderly patients (>75 years old), children and adolescents (17 or younger)
• Non-English/Spanish speakers for whom a translator is not present

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Pacific Vision Foundation

OTHER

Sponsor Role: collaborator

California Pacific Medical Center Research Institute

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Samuel J Reiter, MD

Role: STUDY_DIRECTOR

Resident Ophthalmologist, CPMC

Taliva Martin, MD

Role: PRINCIPAL_INVESTIGATOR

CPMC Ophthalmologist, Residency Program Director

Other Identifiers

Diabetes Ed at Lions Eye

Identifier Type: -

Identifier Source: org_study_id