Addressing Uncontrolled Diabetes in Primary Care: A Lifestyle Redesign Approach



Status:Active, not recruiting
Conditions:Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:18 - 75
Updated:10/13/2018
Start Date:September 18, 2017
End Date:August 31, 2019

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This study is examining the feasibility of implementing an occupational therapy intervention
addressing diabetes management in a primary care clinic within the Los Angeles County
Department of Health Services (LAC-DHS), as well as the impact of this intervention approach
on clinical outcomes, efficiency and patient-centeredness of care. This implementation
science study is evaluating two emerging trends in healthcare delivery: (1) the integration
of nontraditional providers into primary care medical home (PCMH) settings to facilitate the
delivery of high-quality, comprehensive primary care while reducing the burden on physicians;
and (2) the potential value of using occupational therapists to address chronic disease
management in this setting


Inclusion Criteria:

- Current patient at Los Angeles County-USC Medical Center Adult West Primary Care
clinic

- Diagnosed diabetes (type 1 or type 2) documented in EMR

- Most recent HbA1c level >9.0% OR has not had an HbA1c measurement within past 12
months

- Per provider judgment, would be willing to make lifestyle changes related to diabetes
self-care

Exclusion Criteria:

- Active, untreated substance use or behavioral health disorder which interferes with
participation in major life activities
We found this trial at
1
site
2051 Marengo St
Los Angeles, California 90033
?
mi
from
Los Angeles, CA
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