Robustness of a computer-assisted diabetes self-management intervention across patient characteristics, healthcare settings, and intervention staff

• HIT Description: Patient decision support / consumer health informatics More info...
  
• Purpose of Study: To assess the influence of patient characteristics, healthcare settings, and intervention staff on effectiveness of a computer-assisted diabetes self-management program
  
• Years of study: Not Available
  
• Study Design: Randomized controlled trial
  
• Outcomes: Impact on health care effectiveness and quality
  

• Settings: Patients from Kaiser Permanente Colorado and from mixed-pager independent practices participated.
• Intervention: Randomized controlled trial of computer-assisted tailored behavior change program versus a standard counseling with a general computerized health risk assessment (HRA).
• Evaluation Method: Assessment of lab test; surveys about diet / activity
• Description: A 30 to 40 minute computer-assisted tailored self-management (TSM) session with multimedia personlized feedback and goal-setting focused on patient selected strategies to improve physical activity and diet. The program generated a 2-page printout for the participant, a 1-page summary for the MD that included A1c and cholesterol data, and a detailed printout that the coach used to advise the patient. No information on what specific hardware or software was used.
• Financial Context: 76% of invited Kaiser MDs participated in the project, compared with only 18% of non-Kaiser MDs invited (p0.01). Of the non-Kaiser MDs, those in large practices were more likely to participate than those in single-MD practices.
• Healthcare Utilization: 41% of invited patients used the program
• Quality of Care and Patient Safety Outcome: Daily fat intake decreased nore with the intervention group.