Interactive Spaced Education to Optimize Diabetes Care
| Status: | Completed |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/13/2017 |
| Start Date: | June 2014 |
| End Date: | November 2016 |
Investigators are conducting a randomized controlled trial to determine whether an online
team-based spaced education (SE) game can improve HbA1c levels among these patients with
diabetes (primary aim). Secondary aims include determining the impact of the game on
patients' pill possession ratio (PPR) of oral DM meds and their microalbumin/creatinine (M/C)
ratio, ACE PPR, and ARB PPR.
team-based spaced education (SE) game can improve HbA1c levels among these patients with
diabetes (primary aim). Secondary aims include determining the impact of the game on
patients' pill possession ratio (PPR) of oral DM meds and their microalbumin/creatinine (M/C)
ratio, ACE PPR, and ARB PPR.
Participants will be randomized to one of two cohorts: (1) the intervention cohort will
participate in an online team-based game on diabetes self-management education (DSME) and
will receive a paper documents on American history, and (2) the 'attention control' cohort
will participate in an online team-based game on American history and will receive a paper
documents on DSME. Each game would consist of 2 questions per week x 25 weeks = 50 questions
total per arm. The questions are delivered via email by the Qstream platform to the
participants. Upon clicking on a hyperlink in the email, participants select an answer that
is downloaded to a server. They are then provided with the answer to and explanation of the
question, along with additional educational materials. Using an adaptive methodology, the
spacing and content of the game material will be individualized for each clinician based on
their performance. Home-based testing of HbA1c and M/C ratio will be conducted by patients at
enrollment, 6 months and 12 months. If successful, this SE game will improve diabetes
management among VA patients and improve patient outcomes. Given the growing use of email and
the Internet by patients, SE games could be easily expanded to a broad audience of VA
patients with varying health problems across the country. With content tailored to meet
specific needs, SE games can be utilized as tools to improve patients' clinical outcomes by
bolstering their health management behaviors.
participate in an online team-based game on diabetes self-management education (DSME) and
will receive a paper documents on American history, and (2) the 'attention control' cohort
will participate in an online team-based game on American history and will receive a paper
documents on DSME. Each game would consist of 2 questions per week x 25 weeks = 50 questions
total per arm. The questions are delivered via email by the Qstream platform to the
participants. Upon clicking on a hyperlink in the email, participants select an answer that
is downloaded to a server. They are then provided with the answer to and explanation of the
question, along with additional educational materials. Using an adaptive methodology, the
spacing and content of the game material will be individualized for each clinician based on
their performance. Home-based testing of HbA1c and M/C ratio will be conducted by patients at
enrollment, 6 months and 12 months. If successful, this SE game will improve diabetes
management among VA patients and improve patient outcomes. Given the growing use of email and
the Internet by patients, SE games could be easily expanded to a broad audience of VA
patients with varying health problems across the country. With content tailored to meet
specific needs, SE games can be utilized as tools to improve patients' clinical outcomes by
bolstering their health management behaviors.
Inclusion Criteria:
- Patients in the northeastern Veterans Affairs hospital system who are taking oral
diabetes medications, have a PPR<80%, and have a HbA1c >7.5.
Exclusion Criteria:
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