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 |
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
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
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