A Patient-Provider Engagement RCT in Primary Care for Diabetes Patients Open Access
Pall, Allison (2017)
Abstract
Background
Diabetes is prevalent, costly, and deadly. Patients living with
chronic conditions can benefit from interventions that are intended
to empower them to self-manage their conditions outside of their
primary care visits as well as interventions that allow them to
better communicate with their primary care physicians.
Methods
197 Diabetes patients were recruited and followed from 2015 to 2016
from a primary care center of a hospital in downtown Atlanta and
randomized into one of two study arms. Intervention patients were
provided with personalized, color coded printouts of their A1c,
systolic blood pressure, and LDL cholesterol numbers over the last
year or so at each visit. These materials were intended to help
them understand their lab values, remind them of how to self manage
their diabetes outside of their visits, and facilitate
conversations with their providers about their trajectory and
management. Control patients were given the same interviews as
intervention patients, but not given the roadmap printouts.
Difference in differences methods were employed to assess the
change in systolic blood pressure (SBP) from baseline to 3 and 6
month follow up times between groups. SBP was used as a marker for
diabetes control because it was reliably taken at every visit
(unlike A1c), used in the roadmaps employed by the study, and
subject to fewer validity concerns than POCT glucose for this
sample.
Results
The difference in differences tests were not found to be
significant, however the intervention group did experience a small
decrease of about 3 mmHg from baseline to 6 months while the
control group stayed nearly identical.
Conclusion
Qualitatively, patients tended to have very positive reactions to
the roadmap, however they also seemed to benefit from having
additional time to discuss the roadmap with study interviewers.
While the D-I-D models were insignificant, there may be different
findings if a different metric were used in a future model for a
similar study, such as fasting glucose or A1c.
Table of Contents
Table of Contents
1. Background
9. Methods
13. Results
17. Discussion
21. Appendix
35. Bibliography
About this Master's Thesis
School | |
---|---|
Department | |
Degree | |
Submission | |
Language |
|
Research Field | |
Keyword | |
Committee Chair / Thesis Advisor | |
Committee Members | |
Partnering Agencies |
Primary PDF
Thumbnail | Title | Date Uploaded | Actions |
---|---|---|---|
A Patient-Provider Engagement RCT in Primary Care for Diabetes Patients () | 2018-08-28 16:22:02 -0400 |
|
Supplemental Files
Thumbnail | Title | Date Uploaded | Actions |
---|