Chronic Care Management/Patient Relationship Management Proof of Concept

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.

Study Overview

• Status: Completed
• Conditions: Diabetes Mellitus
• Intervention / Treatment: Behavioral: Patient Relationship Management (PRM) Program

• Study Type: Interventional
• Enrollment (Actual): 47
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Colorado
    • Denver, Colorado, United States, 80204
      • Denver Health and Hospital Authority

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 76 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient Engagement	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.	3 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Appointment Attendance	As measured by no-show rates for appointments at all clinics during the study period, compared between intervention and control groups	3 months
Perceived Self-efficacy	As measured by comparison of patient responses to validated assessment instrument administered at baseline and post-intervention	3 months
Glycemic Control	Measured by patients' self-reported fasting blood glucose levels during the intervention period and compared to previous laboratory data in the medical record.	3 months

Collaborators and Investigators

• Sponsor: Denver Health and Hospital Authority
• Collaborators: Microsoft Corporation; EMC Consulting
• Investigators: Principal Investigator: Andrew W Steele, MD, MPH, Denver Health and Hospital Authority

Publications and helpful links

General Publications

• 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.

Study record dates

Study Major Dates

• Study Start: May 1, 2010
• Primary Completion (Actual): March 1, 2011
• Study Completion (Actual): May 1, 2011

Study Registration Dates

• First Submitted: August 11, 2010
• First Submitted That Met QC Criteria: August 12, 2010
• First Posted (Estimate): August 16, 2010

Study Record Updates

• Last Update Posted (Estimate): November 5, 2014
• Last Update Submitted That Met QC Criteria: October 29, 2014
• Last Verified: October 1, 2014

More Information

Terms related to this study

• Other Study ID Numbers: COMIRB 10-0257