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Diabetic Retina Exam Rate Does Not Increase With Phone Reminders in Non-HMO Population

Primary Purpose

Diabetic Retinopathy

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
phone call contact
Sponsored by
Henry Ford Health System
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional health services research trial for Diabetic Retinopathy focused on measuring diabetic retinopathy, screening, annual

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • were Henry Ford Health System patients,
  • diabetic
  • using the BCBSM payer plan

Exclusion Criteria:

  • retina examination in prior year

Sites / Locations

  • Henry Ford Health System

Outcomes

Primary Outcome Measures

a change in the proportion of diabetic patients who acted as a result of the phone contact, and obtained a retina eye exam.

Secondary Outcome Measures

Full Information

First Posted
November 26, 2008
Last Updated
November 28, 2008
Sponsor
Henry Ford Health System
Collaborators
Blue Cross Blue Shield of Michigan Foundation
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1. Study Identification

Unique Protocol Identification Number
NCT00799695
Brief Title
Diabetic Retina Exam Rate Does Not Increase With Phone Reminders in Non-HMO Population
Official Title
Diabetic Retina Exam Rate Does Not Increase With Phone Reminders in Non-HMO Population
Study Type
Interventional

2. Study Status

Record Verification Date
November 2008
Overall Recruitment Status
Completed
Study Start Date
January 2008 (undefined)
Primary Completion Date
May 2008 (Actual)
Study Completion Date
November 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Henry Ford Health System
Collaborators
Blue Cross Blue Shield of Michigan Foundation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Diabetic retinopathy is the major cause of blindness in working age Americans, and screening for it is cost-effective. There are a quarter of a million people in Southeast Michigan with diabetes and pre-diabetes. Only half of patients with diabetes are screened regularly for diabetic retinopathy, and this proportion has been difficult to increase despite various interventions. Previous research focused on HMO patient groups because preventative care was thought to decrease plan costs. In addition, it was administratively feasible to track patient-doctor interactions. This project builds on published research and institutional experience to determine an effective method for increasing the screening rate, in a mobile, non-HMO population. It uses administrative methods and information technology infrastructures, such as large scale electronic medical records and patient demographic databases, to identify existing patients requiring examinations. Patients were telephoned by a trained service representative who offered and scheduled firm examination appointment times. Hypothesis: Annual screening rates for diabetic retinopathy can be substantially improved in non-HMO patient groups by directly contacting patients and scheduling firm appointment times.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Diabetic Retinopathy
Keywords
diabetic retinopathy, screening, annual

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
Participant
Allocation
Randomized
Enrollment
561 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Behavioral
Intervention Name(s)
phone call contact
Intervention Description
A sample of subjects who had not completed their annual diabetic screening exams were contacted by phone and offered appointments for eye exams
Primary Outcome Measure Information:
Title
a change in the proportion of diabetic patients who acted as a result of the phone contact, and obtained a retina eye exam.
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: were Henry Ford Health System patients, diabetic using the BCBSM payer plan Exclusion Criteria: retina examination in prior year
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert M Levine,, MD
Organizational Affiliation
Henry Ford Health System
Official's Role
Principal Investigator
Facility Information:
Facility Name
Henry Ford Health System
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48202
Country
United States

12. IPD Sharing Statement

Links:
URL
http://michigan.gov/documents/2005_Diabetes_Assessment_139261_7.pdf
Description
Michigan Diabetes Prevention and Control Program, 2005 Assessment of Diabetes Care System, Michigan Department of Community Health
URL
http://michigan.gov/documents/mdch/Facts_by__County_Sept_08_06_Prevalence_172255_7.pdf
Description
Michigan Diabetes Fact Pages 2006, 2004 prevalence, risk factors, mortality, hospitalization discharge and amputation data for Michigan, Michigan Department of Community Health

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Diabetic Retina Exam Rate Does Not Increase With Phone Reminders in Non-HMO Population

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