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Improving Diabetes Care Via Telephone Assessment and Patient Education Clinical Trials Info presented on Clinical Trials Search isn't intended to be a substitute for qualified medical advice, visits or professional assistance by using a real mD. We are not docs. Always confer with your physician about Improving Diabetes Care Via Telephone Assessment and Patient Education conditions. Clinical Trials Search.org is a website committed to listing clinical research studies in human subjects. Improving Diabetes Care Via Telephone Assessment and Patient Education Clinical research trials and Improving Diabetes Care Via Telephone Assessment and Patient Education health trials occur in many of cities throughout the US. A clinical trial or clinical study is a research project with human volunteer subjects. Clinical drug trials and pharmaceutical clinical trials generally evaluate the effectivity of new does drugs. The intent of the studies / undertakings is to resolve particular human health questions. Clinical trials are a popular way for physicians, government agencies, and private sector companies to detect remedies for all sorts of conditions, including Improving Diabetes Care Via Telephone Assessment and Patient Education. Improving Diabetes Care Via Telephone Assessment and Patient Education Clinical Trials and other clinical trials permit volunteers to obtain healthcare treatment alternatives before they are available to the masses. Most times the participants undergo professional assistance for without cost, and occasionally they are compensated for their time. Occasionally there is a cost for a Improving Diabetes Care Via Telephone Assessment and Patient Education clinical trial. Test subjects typically receive the most expert healthcare available for their Improving Diabetes Care Via Telephone Assessment and Patient Education condition. Dangers are a reality, however, and may include more or frequent mD visits, healthcare dangers (perhaps life-endangering), and/or the treatment being ineffectual. Trials are federally regulated with rigid guidelines to protect clinical trials patients.
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Home > "I" Clinical Trials Conditions > Improving Diabetes Care Via Telephone Assessment and Patient Education  Improving Diabetes Care Via Telephone Assessment and Patient Education
Improving Diabetes Care Via Telephone Assessment and Patient Education
For Condition: Diabetes Mellitus
Status: Recruiting
Sponsor(s): Department of Veterans Affairs , Department of Veterans Affairs Health Services Research and Development Service
Synopsis: The purpose of this study is to improve the quality of VA diabetes care using an automated telephone disease management (ATDM) system that administers patient assessments and targeted self-care education between clinic visits. In this ongoing study, we are determining: (1) the reliability and validity of Automated Telephone Disease Management (ATDM) assessments of patients' glycemic control, health-related quality of life (HRQL), self-care, and satisfaction with care; (2) the extent to which these assessments identify patients at risk for poor outcomes; and (3) the cost-effectiveness of an intervention in which ATDM assessment reports are provided regularly to patients' primary care providers. We are refining and expanding previously-developed ATDM assessment instruments by incorporating measures of patient-centered outcomes. We are enrolling 500 patients from VISN 12 and VISN 21 for a total sample size of 1000 patients. Patients receive weekly ATDM assessments for six months. Other data on their health status and service use are being collected from medical records, laboratory tests, telephone surveys, and Austin Automation Center files. After determining the concurrent reliability, validity, and prognostic significance of the ATDM assessments, we will examine variation in ATDM-reported outcomes across Networks, facilities, and patient groups. In the second phase of the study, we will conduct an effectiveness trial with a one year follow-up period. We will use the findings from our process evaluation to modify the ATDM assessments and design provider feedback reports. We will enroll 240 patients from the two Networks (i.e., 480 patients overall). Patients will be assigned to experimental or usual care control groups using a combination of randomization and cutoff-based assignment. We will measure the intervention's impact on patients' glycemic control, symptoms, self-care, and patient-centered outcomes. We will use VA costing databases and Medicare claims files to evaluate cost-effectiveness.
Details:
Eligibility:
Study Type: Interventional, Treatment, Randomized, Open Label, Active Control, Parallel Assignment
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: Inclusion - VA patients with diabetes taking hypoglycemic medications. Exclusion - Patients with serious mental disorders, no touch tone telephone, or a life expectancy of <1 year will be excluded.
Total Enrollment: 400
Location and Contact Information:
VA Palo Alto Health Care System *Recruiting*
Palo Alto, California, 94304-1207
United States
Recruiting John Piette 650-493-5000
W. S. Middleton Memorial VA Medical Center *Recruiting*
Madison, Wisconsin, 53705
United States
Recruiting Dean Krahn 608-256-1901
Additional Information:
Study ID Numbers: DII 99-187;
Study Start Date: June 1999
Record last reviewed: November 2000
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00012649
Other Diabetes Mellitus Studies:
1. Urinary Vitamin C Loss in Diabetic Subjects
2. Non-Traditional Cardiovascular Risk Factors in Type 2 Diabetes Mellitus - Ancillary to VA Study of Glycemic Control
3. Automated Calls with Nurse Follow-Up to Improve Diabetes Ambulatory Care
4. Laser and Medical Treatment of Diabetic Macular Edema
5. Hyperapo B and Coronary Heart Disease
Related Studies:
Other Diabetes Mellitus Clinical Trials
Other Wisconsin Clinical Trials
Other Madison Clinical Trials
Improving Diabetes Care Via Telephone Assessment and Patient Education
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