The primary aim of this study is to examine the feasibility of implementing an evidence based patient engagement strategy, known as personalized health planning (PHP), in the context of a a shared medical appointment (SMA) for individuals with type II diabetes in a primary care setting.
All data for the prospective portion of this study was done being collected in September 2016. The retrospective chart review will collect data up until March of 2017 (six months after the last subject completed the prospective phase by attending their last SMA session).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
33
The PHP SMA group will combine personalized health planning with a modified version of the standard shared diabetes medical appointment. Modifications include: a self-assessment of health status, greater emphasis on a collaborative patient-provider health goal-setting process, a plan to meet goals, a mindfulness practice included in each session, and the creation of a 'personalized health plan' participant notebook for each individual to document health goals and track progress to review at each session. The participant notebook also includes educational handouts and worksheets to complement the educational curriculum
Duke Family Medicine Center
Durham, North Carolina, United States
Feasibility measured using a patient satisfaction survey
Time frame: 12 months
Change in patient activation measured using the patient activation measure
Time frame: baseline; 6 months; 12 months
Change in self-management of diabetes self-efficacy using the Diabetes Empowerment Scale
Time frame: baseline; 6 months; 12 months
Change in diabetes self efficacy using the 1-item diabetes self-efficacy scale
Time frame: baseline; 6 months; 12 months
Change in A1C using the A1C blood test
Time frame: baseline; 3 months; 6 months; 9 months; 12 months
Change in depression screening score using the Patient Health Questionnaire (PHQ-9)
Time frame: baseline; 6 months; 12 months
Change in functional health and well-being using the short form health survey
Time frame: baseline; 6 months; 12 months
Change in general self-rated health using the general self rated health survey (GSRH)
Time frame: baseline; 6 months; 12 months
Change in health goal progress using a goal progress visual analog scale
Time frame: 3 months; 10 months
change in body mass index using weight and height measurements
Time frame: baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months
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change in blood pressure using blood pressure measurement
Time frame: baseline; 1 months; 2 months; 3 months; 5 months; 8 months; 10 months; 12 months
Change in low-density lipoprotein cholesterol (LDL) using LDL measurement
Time frame: baseline; 6 months; 12 months