Managing Diabetes to Gain Opportunities for a More Active Life

The purpose of this novel patient-facing disease management intervention, My Diabetes GOAL,
is to develop and test a system embedded within the electronic medical record to engage
patients in personalized goal setting and chronic disease management by: 1) establishing
personalized goals of care based on comorbidities and preferences, 2) tracking diabetes
measures against personalized goals, and 3) selecting the route and intensity of care
management to help patients achieve their goals (e.g., telephonic care management, in-person
care management, and self-care resources). This application can be used to individualize
care, increase engagement with patient portals, and improve patient self-efficacy, as they
take a more active role in their care.

Inclusion Criteria:

- 65 years and older

- Diagnosis of Type 2 Diabetes

- Enrolled in MyChart (University of Chicago Patient Portal)

- Outpatient clinic visit in the prior year

Exclusion Criteria:

- Under 64 years of age

- No type 2 diabetes

- Not enrolled in MyChart

- No outpatient clinic visit in the prior year