NCT00105898

Internet-based Diabetes Education and Case Management

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 152 (actual)
• Sponsor: US Department of Veterans Affairs · Federal
• Sex: All
• Age: 25 Years – 79 Years
• Healthy volunteers: Not accepted

Summary

This study is comparing the effectiveness of web-based care management to either telephone-based care management or internet access alone, in patients with poorly controlled diabetes mellitus.

Detailed description

Background: Patients with diabetes and elevated hemoglobin A1c (HbA1c) are at risk for diabetes-related complications. Care-management may be helpful in these patients, by providing direct contact between such high-risk patients and the healthcare system. Web-based systems have previously shown promise as a means of neutralizing access barriers such as scheduling and travel to appointments and may be of particular help in improving diabetes care. Objectives: We examined the efficacy of two methods of diabetes education and care management: (1) a traditional model that involved telephone contact and face-to-face encounters (2) a web-based model with access to a diabetes care management web site. We compared these interventions to a study group that received no education or care management but was provided with a computer and access to diabetes self-management websites. Methods: This study employed a randomized, parallel group design involving patients with diabetes mellitus and an elevated HbA1c ( 8.5%). Participants assigned to web-based care management received a notebook computer, Internet access and interacted with a care manager through a diabetes education and care management website. Participants receiving telephone-based care management interacted with a care manager using telephone and face-to-face contact. Both care management models employed medication algorithms to improve glucose and BP control. These care management groups were compared to a study group that had no care management but received a notebook computer and Internet access with their "home page" containing links to a series of diabetes self-management websites (i.e. computer only group). The primary outcome measures were HbA1c, blood pressure, and scores on the Problem Areas in Diabetes (PAID) questionnaire, each measured over 12-months. Status: Complete

Conditions

• Diabetes Mellitus
• Hypertension

Interventions

Type	Name	Description
PROCEDURE	Web-based care management	Participants interact with a care manager, sending and receiving messages using an internet portal that accepts uploads from glucose and BP meters
PROCEDURE	Telephone and face-to-face care management	Participants interact with a care manager via face-to-face and telephone contact
PROCEDURE	Internet access alone	Participants are given internet access and encouraged to seek diabetes information to help in their self management

Timeline

• Start date: 2005-02-01
• Primary completion: 2007-04-01
• Completion: 2010-06-01
• First posted: 2005-03-18
• Last updated: 2015-04-07

Locations

1 site across 1 country: United States