Ignite Creation Date:
2024-05-05 @ 12:04 PM
Last Modification Date:
2024-10-26 @ 9:20 AM
Study NCT ID:
NCT00237094
Status:
COMPLETED
Last Update Posted:
2010-01-15
First Post:
2005-10-11
Brief Title:
Use of Midlevel Providers in Diabetes Management
Sponsor:
National Institute of Diabetes and Digestive and Kidney Diseases NIDDK
Organization:
National Institute of Diabetes and Digestive and Kidney Diseases NIDDK
Study Overview
Official Title:
Use of Midlevel Providers in Diabetes Management
Status:
COMPLETED
Status Verified Date:
2010-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Studies have demonstrated that intensive disease management of diabetes and its associated risk factors hypertension and dyslipidemia can prevent the progression of vascular complications However implementation of well defined guidelines for intensive disease management has been suboptimal Barriers to success occur at multiple levels including health care systems health care providers and patients
In rural regions of the US reduced availability of primary care providers and specialty services including diabetes education present additional barriers to effective diabetes care Use of a nurse practitioner led interdisciplinary team to intensively manage urban and rural diabetic patients utilizing telehealth technology to provide care to rural areas will help begin to address these barriers
The long term goal of the project is to develop a practical and sustainable system of intensive diabetes management that will be effective in helping diabetic patients achieve and maintain goals within established treatment guidelines regardless of geographic location
Specific aims are
1 To determine in both urban and rural areas if a nurse practitioner led team approach to intensive diabetes management and education improves disease-specific outcomes and patient education compared to traditional care current diabetes management of urban patients
2 To determine if telehealth is an effective and accepted mechanism for delivery of a nurse practitioner led team approach to intensive diabetes management and education in rural areas
3 To determine if a nurse practitioner led intensive disease management team can identify patient risk factors psychological financial and work-related factors that may be barriers to patient adherence earlier in the management of urban diabetic patients compared to traditional care
4 To compare volume and type of service utilization of a nurse practitioner led team approach to diabetes management and education to that of traditional care in both urban and rural areas Disease-specific outcomes will include physiologic variables HbA1c blood pressure lipid levels measurement and documentation of preventive services dilated eye exam monofilament exam microabumin testing and patients knowledge of disease tested by questionnaire
Results should show improved outcomes and patient knowledge in urban and rural patients receiving intensive disease management compared to traditional care
In rural regions of the US reduced availability of primary care providers and specialty services including diabetes education present additional barriers to effective diabetes care Use of a nurse practitioner led interdisciplinary team to intensively manage urban and rural diabetic patients utilizing telehealth technology to provide care to rural areas will help begin to address these barriers
The long term goal of the project is to develop a practical and sustainable system of intensive diabetes management that will be effective in helping diabetic patients achieve and maintain goals within established treatment guidelines regardless of geographic location
Specific aims are
1 To determine in both urban and rural areas if a nurse practitioner led team approach to intensive diabetes management and education improves disease-specific outcomes and patient education compared to traditional care current diabetes management of urban patients
2 To determine if telehealth is an effective and accepted mechanism for delivery of a nurse practitioner led team approach to intensive diabetes management and education in rural areas
3 To determine if a nurse practitioner led intensive disease management team can identify patient risk factors psychological financial and work-related factors that may be barriers to patient adherence earlier in the management of urban diabetic patients compared to traditional care
4 To compare volume and type of service utilization of a nurse practitioner led team approach to diabetes management and education to that of traditional care in both urban and rural areas Disease-specific outcomes will include physiologic variables HbA1c blood pressure lipid levels measurement and documentation of preventive services dilated eye exam monofilament exam microabumin testing and patients knowledge of disease tested by questionnaire
Results should show improved outcomes and patient knowledge in urban and rural patients receiving intensive disease management compared to traditional care
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 1R18DK065787-01A1 | NIH | None | httpsreporternihgovquickSearch1R18DK065787-01A1 |