PROmoting Diabetes Education and Management Through Peer Support and Team Referral (PROMPT)
Diabetes Mellitus, Type 2
About this trial
This is an interventional health services research trial for Diabetes Mellitus, Type 2 focused on measuring Diabetes Self Management Education and Support, Peer Support
Eligibility Criteria
Inclusion Criteria Providers:
- Primary Care Providers employed at the participating practices
Exclusion Criteria Providers:
- Primary Care Providers that are not employed at the participating practices
Inclusion Criteria Patients:
- Adult, English-speaking patients diagnosed with type 2 diabetes who are referred to DSMES classes from a provider at one of the study practices.
Exclusion Criteria Patients:
- Any patients who are not referred to DSMES classes from the study practices
Sites / Locations
- University of North Carolina at Chapel HillRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Placebo Comparator
Experimental
Placebo Comparator
1. Best Practice Advisory
2. Silent Best Practice Advisory
3. Peer Support
4. Usual Care
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.
Two practices will not receive the suite of tools, but the lists and BPA will be created and sent to the research team.
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.
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.