N/A N=362 Randomized Supportive Care

Harnessing Health IT for Self-Management Support and Medication Activation in a Medicaid Health Plan

Diabetes

Bottom Line

View on ClinicalTrials.gov: NCT00683020 ↗

Enrolled (actual)

362

Serious AEs

0.0%

Results posted

May 2013

Primary outcome: Primary: Changes in the Physical Component Summary of the SF-12 Health Survey — 1.3; -0.7 units on a scale — p=0.03

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: ATSM Intervention (Behavioral)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: University of California, San Francisco
Primary completion: Nov 2011

Outcome Measures

Outcome	Result	p-value
PRIMARY Changes in the Physical Component Summary of the SF-12 Health Survey	1.3; -0.7	0.03 sig
PRIMARY Changes in the Mental Component Summary of the SF-12 Health Survey	1.4; 0.0	0.23
SECONDARY Number of Days Spent in Bed Due to Illness	0.02; 0.03	0.25
SECONDARY Proportion of Patients Reporting Diabetes Interference of Normal Daily Activities	0.039; 0.088	0.18
SECONDARY Changes in Diabetes Self-management Behaviors as Measured by Summary of Diabetes Self-Care Activities (SDSCA) Scale	0.7; 0.08	0.008 sig
SECONDARY Changes in Self-reported Medication Adherence as Measured by Summary of Diabetes Self-Care Activities (SDSCA) Scale	0.2; 0.2	0.87
SECONDARY Changes in Diabetes Self-efficacy as Measured by Diabetes Quality Improvement Project's Patient Self-Management Scale	6.8; 5.7	0.49
SECONDARY Changes in Patient-centeredness of Care as Measured by Patient Assessment of Chronic Illness Care (PACIC) Scale	11.3; 10.0	0.54
SECONDARY Changes in Patient-centeredness of Care as Measured by Interpersonal Processes of Care (IPC) Scale	-1.8; -3.8	0.11
SECONDARY Changes in Hemoglobin A1c Levels	-0.5; -0.2	0.13
SECONDARY Changes in Systolic Blood Pressure (SBP)	0.2; -0.4	0.78
SECONDARY Changes in Diastolic Blood Pressure (DBP)	1.2; -0.9	0.13

Summary

To measure the effects of a Medical health plan-directed automated telephone self-management support system (ATSM) on patient outcomes among ethnically diverse health plan enrollees with diabetes.

Eligibility Criteria

Inclusion Criteria

Diabetes diagnosis
Attend one of 4 CHNSF clinics
Ages 18 or above
Speak English, Spanish or Cantonese
Have a touch tone phone
Have had one or more clinic visits in the preceding 24 months
Will be in the SF Bay Area for the following six months

Exclusion Criteria

Pregnant
Unable to provide verbal consent
Leaving the region in the next 12 months

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00683020). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.