Comparing Strategies for Translating Self-management Support Into Primary Care
| Status: | Completed |
|---|---|
| Conditions: | Diabetes, Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 21 - 89 |
| Updated: | 12/22/2017 |
| Start Date: | October 2013 |
| End Date: | July 31, 2017 |
This project will test different ways of helping primary care practices to do a better job of
self-management support (SMS) for their patients with diabetes.
self-management support (SMS) for their patients with diabetes.
The specific aims of the proposed study are:
- Primary Specific Aims
1. To conduct a cluster randomized trial to examine the reach, effectiveness,
adoption, implementation and maintenance (RE-AIM) of Connection to Health (CTH) for
patients with type 2 diabetes in primary care practice settings. Primary
effectiveness outcomes will include hemoglobin A1c, Body Mass Index (BMI), blood
pressure and Low Desity Lipprotein (LDL) cholesterol.
2. To determine the incremental benefit, using the RE-AIM framework, of brief targeted
practice coaching on the implementation of CTH in diverse primary care practices.
- Secondary Specific Aims
1. To identify key practice characteristics (e.g., practice size, organization,
setting, and level of experience with practice redesign efforts) that impact CTH
RE-AIM. These results will inform dissemination of the CTH intervention.
2. To determine the relative costs associated with implementing CTH and practice
coaching to further inform dissemination efforts.
- Primary Specific Aims
1. To conduct a cluster randomized trial to examine the reach, effectiveness,
adoption, implementation and maintenance (RE-AIM) of Connection to Health (CTH) for
patients with type 2 diabetes in primary care practice settings. Primary
effectiveness outcomes will include hemoglobin A1c, Body Mass Index (BMI), blood
pressure and Low Desity Lipprotein (LDL) cholesterol.
2. To determine the incremental benefit, using the RE-AIM framework, of brief targeted
practice coaching on the implementation of CTH in diverse primary care practices.
- Secondary Specific Aims
1. To identify key practice characteristics (e.g., practice size, organization,
setting, and level of experience with practice redesign efforts) that impact CTH
RE-AIM. These results will inform dissemination of the CTH intervention.
2. To determine the relative costs associated with implementing CTH and practice
coaching to further inform dissemination efforts.
Inclusion Criteria:
- Age 21 years old or over
- Type 2 Diabetes Mellitus diagnosed for a minimum of 12 months
- Able to read in English or Spanish
- Plan to remain in the practice during the study period
Exclusion Criteria:
- Developmentally disabled
- Decisionally challenged
- Pregnant women
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