Diabetes Education and Management for Diabetes
(PROMPT Trial)

Recruiting in Palo Alto (17 mi)

Overseen byLaura Young, MD, PhD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of North Carolina, Chapel Hill

Trial Summary

What is the purpose of this trial?A 3-step project is proposed. Step 1 will test which BPA time point(s) maximize referral rates to DSMES services in the real world clinic setting (Aim 1). Step 2 will utilize that approach within a pilot study of six sites, comparing the effectiveness of peer support to improve attendance to DSMES services (Aim 2). Step 3 will engage stakeholders in designing a future large scale DSMES services trial to improve referral and attendance to DSMES classes.

Eligibility Criteria

This trial is for adult, English-speaking patients with type 2 diabetes who are referred to Diabetes Self-Management Education and Support (DSMES) classes by primary care providers from the participating practices. Providers not employed at these practices or patients not referred to DSMES from them cannot join.

Inclusion Criteria

Primary Care Providers employed at the participating practices

I am an adult with type 2 diabetes and have been referred to a diabetes education class.

Exclusion Criteria

Doctors who work at other healthcare centers cannot participate.

Any patients who are not referred to DSMES classes from the study practices

Participant Groups

The study tests a Best Practice Advisory (BPA) timing strategy to maximize referrals to DSMES services and compares peer support's effectiveness in improving attendance at these services. It involves three steps: optimizing BPA timing, piloting peer support, and planning a larger trial.

4Treatment groups

Experimental Treatment

Placebo Group

Group I: 3. Peer SupportExperimental Treatment1 Intervention

45 patients in the 6 clinics who are referred to DSMES classes who enroll in the study will be assigned a peer supporter who will work with the participant and encourage attendance to the DSMES classes in addition to the usual support offered by the clinic.

Group II: 1. Best Practice AdvisoryExperimental Treatment1 Intervention

Four practices receive a suite of tools intended to increase the rate of referral to DSMES classes for patients with type 2 diabetes. In these four practices, the assigned DCE specialist will have access to a list of eligible patients who have upcoming appointments with their primary care providers. The DCE specialist will message the providers about the eligible patients via the EHR. They will also place a pended order for referral to DSMES class for the eligible patients. The health care provider will be able to either approve or deny the order for the referral Additionally, when an eligible patient presents for an appointment in one of the four intervention clinics, a best practice advisory (BPA) will fire within the EHR and encourage the provider to place a referral for DSMES classes.

Group III: 4. Usual CarePlacebo Group1 Intervention

45 patients in the 6 clinics who are referred to DSMES classes who enroll in the study will receive the usual support offered by the clinic.

Group IV: 2. Silent Best Practice AdvisoryPlacebo Group1 Intervention

Two practices will not receive the suite of tools, but the lists and BPA will be created and sent to the research team.