N/A
N=102
Encouraging Patient-Centered Communication in Clinical Video Telehealth Visits
Diabetes Mellitus
Bottom Line
View on ClinicalTrials.gov: NCT02522494 ↗Enrolled (actual)
102
Serious AEs
1.2%
Results posted
Jun 2021
Primary outcome: Primary: HgbA1c — 8.5; 8.5; 7.99; 8.2 percentage of glycated hemoglobin
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Pamphlet (Behavioral); Video (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- VA Office of Research and Development
- Primary completion
- Dec 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY HgbA1c |
8.5; 8.5; 7.99; 8.2 | — |
| PRIMARY Communication Self-efficacy |
22.81; 21.64; 22.94; 22.75 | — |
| PRIMARY Consultation Care Measure (CCM) |
90.22; 84.08 | — |
| PRIMARY Adherence (Self-reported) |
78.51; 75.98 | — |
| PRIMARY Medication Adherence (MPR) |
— | — |
| PRIMARY Adherence at 1 Year |
— | — |
| PRIMARY Consultation and Relational Empathy (CARE) |
44.65; 40.39 | — |
| PRIMARY Communication Ratings |
94.24; 88.67 | — |
| PRIMARY Human Connection Scale |
49.73; 49.28; 52.44; 49.35 | — |
| PRIMARY Resistance to Treatment Questionnaire (RTQ) |
42.59; 45.13 | — |
| SECONDARY Trust in Provider Questionnaire |
47.08; 45.00; 53.27; 50.19 | — |
| SECONDARY Patient Satisfaction |
24.19; 23.35 | — |
| SECONDARY Participatory Decision-Making |
16.68; 15.34; 17.15; 15.06 | — |
| SECONDARY Diabetes Self-Efficacy |
22.81; 21.64; 22.94; 22.75 | — |
Summary
Diabetes is common, it is expensive, and it is a chronic condition. Estimates put the prevalence of diabetes at almost 20 percent in VA patients. Poorly controlled diabetes leads to a number of complications including cardiovascular disease, blindness, amputation, and end stage renal disease. Adherence to medication regimens (as well as lifestyle factors such as diet and exercise) is important to achieve diabetes care goals. Adherence to recommended care is related at least in part to effective communication in medical encounters. This project is designed to test a video intervention to improve patients' communication behaviors. Providers will also receive a pamphlet with specific recommendation to improve communication skills. The project will assess the impact of the training programs on communication and outcomes. The study is designed to help make patient care more patient-centered, which is one of the six aims for improvement in the IOM Report, Crossing the Quality Chasm and is a goal of VA transformation efforts.
Eligibility Criteria
Inclusion Criteria
- Diagnosis of type 2 diabetes mellitus,
- Hemoglobin A1c not controlled,
- Adults,
- Age 18 or older
Exclusion Criteria
- Dementia,
- Lives in skilled nursing facility,
- Terminal medical condition,
- Drug-induced diabetes,
- Blind or deaf.
Data sourced from ClinicalTrials.gov (NCT02522494). 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.