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Sponsors and Collaborators: |
Department of Veterans Affairs Case Western Reserve University The Cleveland Clinic |
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Information provided by: | Department of Veterans Affairs |
ClinicalTrials.gov Identifier: | NCT00854594 |
The investigators study focuses on improving the care of diabetes, a complex chronic illness, by providing important insights into interprofessional training and its potential role in fostering the necessary interdisciplinary management needed for chronic conditions and in addressing the gap between best practice and actual care provided.
Condition | Intervention |
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Diabetes Mellitus |
Behavioral: Role modeling in Shared medical appointments to Promote Establishing Collaborative Teams (ReSPECT) |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Open Label, Parallel Assignment, Efficacy Study |
Official Title: | Interprofessional Training for Improving Diabetes Care |
Estimated Enrollment: | 12669 |
Study Start Date: | October 2009 |
Estimated Study Completion Date: | September 2012 |
Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: No Intervention
Control sites will receive the baseline measures pre and post. These sites will receive traditional diabetes education, which includes teleconsultation.
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2: Experimental
Intervention sites will receive baseline measures pre and post, but also indepth Shared Medical Appointments (SMA)(The Role modeling in Shared medical appointments to Promote Establishing Collaborative Teams (ReSPECT) intervention) and at 15 months SMA video conferences. At the end of the 18 months the randomly selected patients and providers will be asked to take part in a qualitative interview.
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Behavioral: Role modeling in Shared medical appointments to Promote Establishing Collaborative Teams (ReSPECT)
The intervention is designed to educate the clinicians at intervention CBOCs by modeling interprofessional team practices during SMAs for DM patients from each CBOC primary care provider's (PCP) patient panel. We hypothesize that this education at intervention CBOCs will improve interprofessional practices and overall quality care delivered to veterans.
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The complexity of diabetes management challenges the acute care-oriented healthcare system. Some experts suggest part of the problem is that the healthcare system fosters a separate silos decision making model. While there is increasing recognition that quality diabetes care is best provided in an interdisciplinary manner, interprofessional training models are limited, as is understanding of the links between interprofessional training, actual practice, and patient outcomes. Advancing our understanding of interprofessional training models is critical because most of the complications associated with diabetes (e.g., amputations, renal failure, strokes) can be prevented or delayed with proper management.
Our objective is to better understand the processes and mechanisms by which interprofessional training impacts on chronic care management (practice patterns) and the ways it translates into improved patient outcomes.
Ages Eligible for Study: | 25 Years to 85 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Laura Clementz, MA | (216) 791-3800 ext 3046 | laura.clementz@va.gov |
Contact: Michelle L Davidson, MEd BA | (216) 791-3800 ext 4832 | Michelle.Davidson@va.gov |
United States, Ohio | |
Louis Stokes VA Medical Center | |
Cleveland, Ohio, United States, 44106-3800 |
Principal Investigator: | David C. Aron, MD MS | Louis Stokes VA Medical Center |
Responsible Party: | Department of Veterans Affairs ( Aron, David - Principal Investigator ) |
Study ID Numbers: | EDU 08-414 |
Study First Received: | February 27, 2009 |
Last Updated: | March 4, 2009 |
ClinicalTrials.gov Identifier: | NCT00854594 History of Changes |
Health Authority: | United States: Federal Government |
Diabetes Telemedicine Shared Medical Appointments |
Metabolic Diseases Diabetes Mellitus Endocrine System Diseases |
Endocrinopathy Glucose Metabolism Disorders Metabolic Disorder |
Metabolic Diseases Diabetes Mellitus Endocrine System Diseases Glucose Metabolism Disorders |